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How Happy Are Your Feet? - Health & Fitness Magazine online!

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HEALTH<br />

<strong>Your</strong> <strong>Health</strong> Checklist for 2009<br />

Below is a sample <strong>Health</strong> Checklist<br />

you can post on your wall or<br />

refrigerator to remind you to stay on<br />

track with your health goals this year.<br />

Modify it to fit your needs. During the<br />

year, fill in your progress, recording<br />

lab tests, doctor visits, diet & exercise<br />

goals, and emotional / spiritual goals.<br />

Today’s date _______________<br />

Height ________________________<br />

Weight ________________________<br />

% body fat _____________________<br />

Resting Heart Rate _______________<br />

Waist size ______________________<br />

(men: < 40; women: < 37)<br />

Blood Pressure _________________<br />

Total Cholesterol ________________<br />

HDL Cholesterol ____________ (> 40)<br />

LDL Cholesterol ___________ (< 100)<br />

Fasting blood sugar _______________<br />

Fasting insulin level ______________<br />

C-Reactive Protein _______________<br />

(Test for inflammation)<br />

TSH ___________________________<br />

Other: __________________________<br />

DOCTOR VISITS<br />

Enter the dates of the visits.<br />

________ Dental exam / teeth cleaning<br />

________ Spinal exam (chiropractor)<br />

/ treatments<br />

________ Women: Pap smear /<br />

Pelvic smear / Mammogram<br />

________ Men: Testicular exam /<br />

rectal exam (prostate)<br />

________ Bone density test<br />

________ Echocardiogram/stress test<br />

________ Colonoscopy<br />

________ Skin check by dermatologist<br />

________ Hearing Exam<br />

________ Vision exam<br />

________ Other __________________<br />

Diet Goals<br />

_____ 2 quarts water daily<br />

_____ Good breakfast<br />

_____ No eating < 3 hours before bed<br />

_____ Minimum of 2 meals and 1<br />

snack daily<br />

_____ No more than 5 oz juice at<br />

any time<br />

_____ 1 handful healthy nuts 4x/week<br />

_____ At least one serving grain<br />

_____ 4 servings vegetables or more<br />

_____ 3-4 servings fruit<br />

_____ <strong>Health</strong>y beverages other than<br />

coffee, pop<br />

_____ No fried foods / hydrogenated fats<br />

_____ Limit chocolate<br />

_____ Limit alcohol<br />

_____ Eliminate sugar, processed foods<br />

_____ Limit high glycemic index foods<br />

_____ Limit calories<br />

_____ Other _____________________<br />

Exercise<br />

____ Cardio exercise (walking,<br />

cycling, dance, etc. 30 minutes<br />

total 3 or more times a week)<br />

____ Stretching<br />

____ Strength training<br />

____ Massage<br />

____ Other: _____________________<br />

Emotional / Spiritual <strong>Health</strong><br />

____ Time spent with friends and<br />

family<br />

____ Sleep 6 or more hours per night<br />

____ Sex<br />

____ Music – concerts / singing<br />

____ Recreation / vacation<br />

____ Laugh / smile > 10 times daily<br />

____ Anger management<br />

____ Resolve conflicts<br />

____ Learn something new daily<br />

____ Read at least 1 book a month<br />

____ Commit to help > 1 person/day<br />

____ Pray<br />

____ Decrease bad influences<br />

____ Time spent with mentor /<br />

accountability partner<br />

____ Other: __________________<br />

January Edition 2009<br />

9

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