Workplace Wellness Worksheet - I - Workplace Wellness

What is Workplace Wellness Worksheet - I?

Everyone wants to be perfect healthy and not sure on how to target those. Reason behind this is lack of knowledge on kind of actions that gives us proper health. So first figure out the reasons behind our health in present day scenario and with the worksheet, we get to find the ways to improve the health by paying attention to it. Some solutions should be followed with supervision of experts, mostly to them who have to carry out strict medication.

A score is given to each section in the worksheet below based on numerical system. To get the final score, all the individual scores for the questionnaire are added up. If the first, second and third column scores are considered as T1,T2,T3, then the sum of the total score is T1+T2+T3.

Tobacco Use Table

Smoking-related Actions Circle the appropriate score
I avoid smoking cigarettes 4 1 0
I avoid pipes and cigars 2 1 0
I avoid spit tobacco. 2 1 0
I avoid passive smoking 2 1 0
Total = T1 + T2 + T3 = T1 T2 T3

Alcohol and Other Drugs Table

Alcohol-related Actions Circle appropriate score
I take less than 1 (women) or 2 (men) drinks daily 4 1 0
I avoid alcohol/drugs to deal with stress 2 1 0
I avoid alcohol during medications or pregnancies. 2 1 0
I follow directions with over-the-counter drugs. 2 1 0
Total = T1 + T2 + T3 = T1 T2 T3

Nutrition-related Table

Nutrition-related issues Circle the appropriate score
I eat variety of foods as calorie intake 3 1 0
I limit saturated fat and trans fat in diet. 3 1 0
I avoid skipping meals. 2 1 0
I limit salt and sugar in diet 2 1 0
Total = T1 + T2 + T3 = T1 T2

T3

Exercise/Fitness Table

Smoking-related Actions Circle the appropriate score
I do weekly moderate-intensity exercises. 4 1 0
I maintain a healthy weight. 2 1 0
I do weekly exercise for muscular strength 2 1 0
I spend leisure time in physical activities 2 1 0
Total = T1 + T2 + T3 = T1 T2 T3

Emotional Health Score

Emotional Health Activities Circle the appropriate score
I have a job that I like 2 1 0
I can relax and express my feelings easily 2 1 0
I handle stress well. 2 1 0
I can share personal matters with friends 2 1 0
I can easily participate in group activities 2 1 0
Total = T1 + T2 + T3 = T1 T2

T3

Safety Table

Safety Activities Circle the appropriate score
I wear safety belt while driving 2 1 0
I don’t drive under influence of drugs/ liquor 2 1 0
I obey traffic rules and speed limit 2 1 0
I read precautions for using appliances 2 1 0
I don’t use cell phone while driving. 2 1 0
Total = T1 + T2 + T3 = T1 T2 T3

Disease Prevention Table

Disease Prevention Activities Circle the appropriate score
I know warning signals of heart attack, stroke. 2 1 0
I avoid over-exposing my skin to the sun 2 1 0
I get medical screening for blood pressure 2 1 0
I practice regular self-exams for cancer 2 1 0
Total = T1 + T2 + T3 = T1 T2 T3

What Your Scores Mean

9 and 10 You know the importance of health in life
6 and 8 Your health is good there is room for improvement
3 and 5 Your health risks are high
0 and 2 Risks are at dangerous levels!

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