Directions: Review the responses to this health risk assessment. Consider the health risk factors the assessment indicates. Then write a letter or create a pamphlet to recommend changes this person could make to improve her health.
1. What is your age in years? 15
2. What is your race? White _X_ Black ___ Hispanic ____ Other: _______
3. What is your gender? Male ____ Female _X___
4. What is your occupation? student
5. Would you describe your health as good, fair, or poor? good
6. Do you have any specific health concerns? I think I'm too fat. I don't like my nose - it's too big; I wish I could have braces for my teeth; my stomach bothers me a lot; I get headaches, too.
7. Have you had a medical examination within the past five years? Yes ____ No __X__
8. Are you under a doctor's care for any diagnosed condition? no
9. Are you taking prescription medications? no
10. Do you have a family history of any of the following? Heart attack before age 50: yes, father had a heart attack last year
Diabetes: father's dad was on insulin
Cancer: mother had breast cancer five years ago
11. During the last 30 days, did you diet to lose weight or to keep from gaining weight? yes
12. During the last 30 days, did you vomit or take laxatives to lose weight or to keep from gaining weight? yes
13. During the last 30 days, did you take diet pills to lose weight or to keep from gaining weight? yes
14. Yesterday, how many times did you eat fruit? once
15. Yesterday, how many times did you eat hamburger, hot dog, or sausage? once
16. Yesterday, how many times did you eat french fries or potato chips? once
17. On how many of the last seven days did you participate in vigorous sports or exercise for at least 20 minutes? Five days
18. Do you ever feel sad, blue, unhappy or "down in the dumps" for more than two weeks at a time? yes
19. Do you have little energy or feel tired or unable to concentrate for more than two weeks at a time? yes
20. In the past twelve months, have you thought of taking your own life as a way of dealing with your problems? yes
21. How often do you wear a seatbelt when riding in a car driven by someone else? Seldom; only to satisfy my mom
22. During the past 30 days, on how many days did you smoke cigarettes? About every day
23. On the days you smoked, how many cigarettes did you smoke per day? Half-pack or so