NAME: GRADE & SECTION:

PT 2.2 IN P.E.: WELLNESS LIFESTYLE QUESTIONNAIRE

In this activity you will be asked to assess your wellness lifestyle.

Procedure:

1. Place a check in the column corresponding to your answer for each question. Get your final
score according to the guidelines provided at the end of the questionnaire.

2. Answer the following reflective questions below.

Nea
Wellness Lifestyle Questionnaire Alwa rly Oft Seld Ne
ys Alw e o v
(5 ays n m er
) (4) ( (2 (1
3 ) )
)
1. I participate in vigorous aerobic
activity for 20 minutes, 3x a day.
2. I participate in strength training
exercises, 2 or more days per
week.
3. I perform flexibility exercises a
minimum of 2x per week.
4. I maintain my recommended
body weight.
5. I eat 3 regular meals that
include a wide variety of food
every day.
6. I limit the amount of fats in my
diet on most days of the week.
7. I eat fruits and vegetables every
day.
8. I regularly avoid snacks,
especially those high in calories
and fat.
9. I readily recognize problems
and act on it when I am under
excessive tension and stress.

10. I am able to perform effective

stress management techniques.
 Near
Wellness Lifestyle Alwa ly Oft Seld Nev
Questionnaire ys Alwa e o er
(5 ys n m (1
) (4) (3 (2) )
)
11. I have close friends and
relatives with whom I can
discuss personal problems
and approach for help when
needed.
12. I spend most of my leisure
time in wholesome
recreational activities.
13. I can deal effectively with
disappointments and
temporary feeling of sadness,
loneliness, and depression.
14. I can work out emotional
problems without turning
to alcohol or violent
behavior.
15. I associate with people
who have a positive
attitude about life.
16. I do not spend time and talent
worrying about failures.
17. I wear a seatbelt, whenever I
am in a car or vehicle.
18. I do not drive under the
influence of alcohol nor
read, write or send text
messages while driving.
19. I avoid being alone in
public places and staying
out until midnight.
20. I always keep doors and
windows locked,
especially when I am
alone at home.
21. I support community efforts to
minimize pollution.
22. I use energy conservation
tips and encourage others to
do the same.
23. I study in a clean environment.
 24. I participate in recycling
programs in my
community.

REFLECTIVE QUESTIONS:

1. Reflecting on Your Physical Health: Considering the frequency of your physical activities (like
aerobic exercises, strength training, and flexibility exercises), how do you feel these activities
contribute to your overall physical wellness? What changes, if any, do you think you need to
make to improve this aspect of your wellness?

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2. Dietary Habits and Nutrition: Upon reviewing your answers related to diet (such as meal
regularity, variety of foods, and fat intake), how well do you think your current eating habits
support your overall health and wellness goals? Are there specific areas in your diet you feel
could be improved for better health outcomes?
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3. Emotional and Mental Well-being: Reflect on the ways you handle stress, emotional
challenges, and your social interactions (like dealing with tension, managing disappointments,
and social support). How do these aspects of your lifestyle affect your emotional and mental well-
being? Are there any strategies or changes you think could enhance your emotional resilience?
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4. Safety and Responsibility: Looking at your responses related to safety practices (such as
wearing seatbelts, avoiding driving under influence, and ensuring home safety), how do these
behaviors reflect your attitude towards personal safety and responsibility? What is the importance
of these practices in your overall wellness?
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5. Environmental Awareness and Study Habits: Based on your responses regarding

environmental conservation and study environment, how do you think your actions and choices
impact both your personal wellness and the larger community? Are there any adjustments you
could make to create a more positive impact?
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