Directions: Below is one of the ten sections from HEALTH MENTOR for you to complete. Print out this page if you can. Then, simply read the questions and circle the number under the answer that best describes how often the statement applies to you. You need to respond to each question for an accurate score. If a statement does not apply to you at all, circle 0. Add the circled numbers together to determine your score.

Self-Care and Preventive Care

 Almost
Always

Sometimes

Almost
Never

I take prescription medicine only as directed by a physician

0

1

2

I fill my medicine prescriptions immediately

0

1

2

I wear sunscreen or protective clothing when I am in the sun

0

1

2

I conduct a testicular self-exam every month and check my skin for unusual spots or coloring every few months

0

1

2

I have physician and dental exams every year

0

1

2

I am over 40 and get a rectal exam every year

0

1

2

I sleep 7 or 8 hours every night, no more or no less

0

1

2

I get my blood pressure checked every year

0

1

2

I get my cholesterol levels checked every year

0

1

2

I stay home and in bed to recover when I am ill

0

1

2

Add circled numbers for Self-Care and Preventive Care Score.


Your Self-Care and Preventive Care rating:

0 - 4

Excellent

5 - 9

Good

10 - 14

Risky

15 - 20

Very Risky

Here is what your scores tell you about your behaviors and health risks.

EXCELLENT: Your responses show that you are aware of the importance of these behaviors and are practicing good health habits. If you keep this up, you will live the longest, healthiest life you can.

GOOD: Your behaviors are good, but there is still room for improvement. Look back at the questions where you received high scores to see what changes you can make. Even small changes can make big differences in your health and longevity.

RISKY: You are gambling with your life! Review the questions with high scores. They will reveal several lifestyle changes that you need to make if you want to live as long as you can. If you control these risks, a longer and healthier life is yours. Talk to a health care professional for tips about how to do this.

VERY RISKY: Having completed this self-test shows that you are concerned about your health. But your responses reveal that you are taking serious and unnecessary risks with you health that are almost certainly shortening your life. Fortunately, it is never too late for a man to improve his health. Any change for the better that you make today will contribute to more and better tomorrows. You can begin by carefully reviewing the questions where you received high scores and identifying your risky behaviors. Then talk to a health care professional about what else you can do to improve your health. and keep in mind, achieving a longer, healthier life is mostly in you control.

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