How is my Physical Health?

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Answer the following questions about your physical heath. As you choose each answer, write its assigned point value on a sheet of paper.

First Name: *

Last Name: *

Grade: *

I drink at least 6-8 glasses of water a day. *

rarely=0 points

sometimes=1 point

mostly=2 points

always=3 points

I eat at least 2 fruits and 2 vegetables a day. *

rarely=0 points

sometimes=1 point

mostly=2 points

always=3 points

I take a shower or bath each day AND put on deodorant IF I am in 3rd-6th grade. *

rarely=0 points

sometimes=1 point

mostly=2 points

always=3 points

I brush my teeth 2 times a day. *

rarely=0 points

sometimes=1 point

mostly=2 points

always=3 points

I sleep at least 8-10 hours a night. *

rarely=0 points

sometimes=1 point

mostly=2 points

always=3 points

I go to bed by 9 pm each night. *

rarely=0 points

sometimes=1 point

mostly=2 points

always=3 points

I exercise (run, walk, play sports, etc) for 30 minutes a day. *

rarely=0 points

sometimes=1 point

mostly=2 points

always=3 points

I limit my sugar, junk food, and soft drinks. *

rarely=0 points

sometimes=1 point

mostly=2 points

always=3 points

I take a break after spending 30 minutes on electronic games, technology,etc. *

rarely=0 points

sometimes=1 point

mostly=2 points

always=3 points

I brush my hair every day. *

rarely=0 points

sometimes=1 point

mostly=2 points

always=3 points

Now that you are finished, add up your points and enter your total below. *

If your total was 20-30 points, then you take good care of your physical health. Choose 1 of the following goals to improve. If your total was 0-19 points, then your physical health may need more attention. Choose 3 of the following goals. *

I will drink 6-8 glasses of water a day.

I will eat at least 2 fruits and 2 vegetables a day.

I will take a shower or bath every day and wear deodorant if I am in 3rd-6th grades.

I will brush my teeth at least twice a day.

I will sleep at least 8-10 hours a night.

I will I go to bed by 9 pm each night.

I will exercise for 30 minutes a day.

I will limit my sugar, junk food, and soft drinks.

I will brush my hair each day.

I will take frequent breaks when I am playing electronic games or using technology.

Required

Finally, get a sheet of paper and write down the goals that you selected above. Put this sheet of paper some place where you will see it each day. I'm proud of you for working on becoming Your Best You!

Do you need me to contact you to talk about your physical health? Remember, you can join a private ZOOM session each day from 12-2. Follow the link on the homepage of my website. *

Yes

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This form was created inside of Barren County Schools.