2

3.5

I have two close relatives who developed heart

disease before 60 years of age.

3.6 I have three close relatives who developed- heart

disease before 60 years of age.
Total score for item 3.

(6 )
(7 )
----------

(Close relatives means Parents, Siblings, Parent's brothers & sisters)

4. Body Weight
My present weight is
My ideal weight is

___________
___________

To get your ideal weight,please refer to the table of "Standard height and weight for Indian men
ind women" given at the end of this chapter.
4.1 My weight is more than 2 Kg (5 Ibs) below the
(0 )
ideal weight.
4.2 My weight is 2 Kg (51bs) above the ideal weight
4.3 My weight is 2 to 8 Kg (6 to 35 Ibs) above the
ideal weight.
4.4 My weight is 8 to 14 Kg (21 to 35 Ibs) above the
ideal weight.

(1 )
(2 )
(3 )

4.5 My weight is 14 to 20 Kg (36 to 50 Ibs) above the

ideal weight.

(5 )

4.6 My weight is 20 to 26 Kg (51 to 65 Ibs) above the

ideal weight.

(7 )

4.7 My weight is 26 Kg (65 Ibs) or more above the

ideal weight.

(10 )

Total score for item 4.

5.

Physical activity

5.1 I have active occupation and I do regular exercises

(0 )

5.2 I have a moderately active occupation and I do

regular exercises.
5.3 I have an active occupation and I do not do
regular exercises.

(1 )
(2 )

5.4 I have a sedentary occupation, but I do

regular exercises.

(4 )

5.5 I have a sedentary occupation and 1 do

exercises occasionally.

(6 )

--5.6 I have a sedentary occupation and I do not do

regular exercises.
Total score for item 5.

(8 )
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