Health Interview

1.      Have you always been as healthy as you are now?  Please explain.

_______________________________________________________________

_______________________________________________________________

2.      What particular health habits in the following areas do you practice, that contribute to your level of health?

Nutritional Habits_________________________________________________________

Fitness Habits_________________________________________________________________

Coping with Stress_________________________________________________________________

Dealing with Conflicts_____________________________________________________

Keeping a Positive Attitude_________________________________________________

Any Additional Healthy Habits______________________________________________

3.         How did you develop these habits?  Please explain.

________________________________________________________________

________________________________________________________________

4.         What motivates you to practice a healthy lifestyle?

________________________________________________________________

________________________________________________________________

5.        
Create a question of your own that you would like to ask regarding this person’s healthy lifestyle.

Question: _______________________________________________________________

Answer: ________________________________________________________________

_______________________________________________________________