DAILY LIFESTYLE AND BODY MASS INDEX (BMI) OF

GRADE 7 STUDENTS OF DEL MONTE NHS

Name(Optional):_____________________________________________ Age:______Gender:______
Height:_________________Weight:_________________BMI:_________________
Directions: Please provide the answers needed in each item by filling out the spaces provided for.
5- Always 4- Oftentimes 3- Sometimes 2- Rarely 1- Never
I. Exercise

No. Statements 5 4 3 2 1
1 I exercise daily.
2 I exercise for 1 hour or more.
3 I do 4 or more types of exercise.

II. Water Intake

No. Statement 5 4 3 2 1
4 I consumed 10 or more glasses of plain
water daily.

III. Waste Elimination

No. Statement 5 4 3 2 1

5 I eliminated my bowels not more than

twice daily.

IV. Sleeping Habit

No. Statements 5 4 3 2 1
6 I usually sleep not less than 8 hours.
7 I sleep continuously at night time.
8 I woke up 3 or more times between sleep at
night.
9 I sleep irregularly frequency at any time of
the day.

V. Nutritional Supplement

No. Statement 5 4 3 2 1

10 I took vitamins and other nutritional

supplement daily.