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WELLNESS DIARY

NAME:
Do you: 1-Rarely 2-Sometimes 3-Often
participate in 60 minutes of daily physical activity? 1
participate in everyday leisure activities? 2
participate in sports/activites 3-5 days/week? 3
partcipate in aerobic activities 3-5 days/week?
participate in muscle strength and endurance 2-4 days/week?
participate in flexibility exercises 4-5?
minimize computer time daily? (less than 2 hours)
choose foods from the milk group?
drink more than 2 glasses/day of milk/100% juice
eat breakfast?
drink sugar, sweetened beverages?
eat raw vegetables?
eat fruit?
walk instead of drive?
eat candy?
limit use of salt in/on food?
choose whole grain cereal or bread?
maintain healthy weight?
eat fried foods?
skip meals?
try new sports?
try new foods?
drink water?
eat healthy snack foods?
eat a variety of protein foods?
get 8-10 hours of sleep?
minimize TV viewing each day? (less than 2 hours)
read food labels for nutrition content?

Total 1 2 3

Scoring: 70 or above you’re a winner T


O
50-69 doing great
35-49 you’re in the running 6 T
A
below 35 try harder L

Answer the series of reflections related to your well-being:


1. How do you feel at this moment? Both mentally and physically?

2. What are you grateful/thankful for today?

3. What is one thing you can do today to help achieve your long-term goals?

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