Healthy lifestyle test on the topic: Questionnaires for the implementation of the school health program

Questionnaire for parents to assess the health status of their child and its timely adjustment

Dear parents!

Carefully read the contents of the questionnaire and try to answer the questions as accurately as possible. You need this information to assess your child's health status.

Are there:

1. Headaches (unreasonable, with excitement, after exercise, after visiting kindergarten) Yes No

2. Tearfulness, frequent mood swings, fears Yes No

3. Weakness, fatigue after class (in kindergarten, at home) Yes No

4. Sleep disturbance (long falling asleep, light sleep, sleepwalking, bedwetting, difficulty waking up in the morning) Yes No

5. Excessive sweating or red spots when excited Yes No

6. Dizziness, unsteadiness when changing body position Yes No

7. Fainting Yes No

8. Motor disinhibition (cannot sit still for a long time) Yes No

9. Obsessive movements (pulls clothes, hair, licks lips, bites nails, sucks thumb, blinks fast, stutters) Yes No

10. Pain, discomfort in the region of the heart, palpitations, interruptions Yes No

11. High blood pressure Yes No

12. Frequent runny nose (4 or more times a year) Yes No

13. Frequent cough (4 or more times a year) Yes No

15. Abdominal pain Yes No

16. Abdominal pain after eating Yes No

17. Abdominal pain before meals Yes No

18. Nausea, belching, heartburn Yes No

19. Violation of the stool (constipation, diarrhea) Yes No

20. Diseases of the stomach, liver, intestines Yes No

21. Lower back pain Yes No

22. Pain during urination Yes No

23. Reaction to some food, smells, flowers, dust, medicines (swelling, shortness of breath, rash) Yes No

24. Reaction to vaccinations (rash, swelling, difficulty breathing) Yes No

25. The appearance of exudative diathesis (reddening of the skin, peeling, eczema) Yes No

Assessment of the questionnaire test:

1. Questions 1-9: with a positive answer to questions 1, 2, 5 - separately or in combination (for example, 1 and 2; 2 and 3; 3 and 5; etc.) - observation by the institution's doctor; with a positive answer to questions 2, 4, 6, 7, 8, 9 separately or in combination (for example, 1 and 4; 2 and 6; 3 and 7, etc., as well as with a positive answer to 3 or more questions of this section (in any combination ) - consultation with a neurologist is required.

2. Questions 10-11: with a positive answer to each or both questions, an examination by a doctor of the institution according to the indications of a consultation with a rheumatologist.

3. Questions 12-14: in case of a positive answer to each or several questions of this section, consultation with an otolaryngologist is required.

4. Questions 15-20: in case of a positive answer to one of the questions 15, 20 - 16, 17, 18, 19, as well as to 2 or more questions of this section (in any combination) - examination by a doctor of the institution - consultation of a gastroenterologist.

5. Questions 21-22: in case of a positive answer to one or both questions, an examination by a doctor of the institution, additional special studies, if indicated, and a consultation with a neurologist.

6. Questions 23-25: if you answer yes to one or three questions -

examination by a doctor of the institution, according to indications, consultation of an allergist.

Take care of your health from a young age - be attentive to your health

your child and help him in a timely manner!


Questionnaire for assessing the level of students' attitude to health problems and a healthy lifestyle.

Dear friend!

Please take part in the study of attitudes towards your health.

Read the questions and possible answers carefully. Choose the most appropriate answer and circle its number.

It is very important to answer honestly and work independently.

You don't have to give your last name. Anonymity is guaranteed.

Please, indicate

1. Your gender

Male

female

Your age _________________ (enter the full number of years)

2. How do you assess the state of your health?

1.Good

2.Satisfactory

3.Bad

4. Difficult to answer

3. Which of the values ​​below are most important to you?

Material well-being,

Quality education,

Good health,

attractive appearance,

Favorite work,

Opportunity to meet interesting people

Wealthy family,

Code and independence.

4. What conditions for maintaining health do you consider the most important? From the above list of conditions, select and mark the four most important to you.

good heredity,

good environmental conditions,

Implementation of the rules of a healthy lifestyle,

Possibility of consultations and treatment with a good doctor,

Knowledge about how to take care of your health,

Absence of physical and mental overload,

Regular exercise,

Sufficient material resources for good nutrition, sports, etc.

5. How do you feel about information about how to take care of your health?

It is always interesting and useful information,

Sometimes this is quite interesting and useful information,

Not very interesting and useful information,

This information does not interest me.

6. Do you care enough about your health

Quite enough,

Not quite enough

Not enough.

7. Where do you learn about how to take care of your health?

Often

From time to time

Never

From parents

From friends

At school

From magazines, books

From TV shows

Through the Internet

8. Do you think the following is bad for your health? (You must answer each line of the table.)

harmful

Hard to say

Not harmful at all

1. Wrong diet (a lot of fatty and sweet and very few vegetables and fruits) \ overeating

2. Drinking alcohol

3. Drug use

4.Sedentary lifestyle

5.Smoking

6. Malnutrition

9. Do you smoke?

Yes, regularly

Not,

Sometimes, by mood or "for the company"

Just tried

10. How often do you drink alcohol?

Never

A couple of times a year

Once or twice a month

Every week

Almost every day.

11. Have you ever tried drugs or toxic substances?

Yes

Not

12. At what age, in your opinion, should we talk about the dangers of alcohol, smoking, drugs and sexually transmitted diseases?

13. What health topics interest you the most?( You can choose more than one topic)

Smoking

Weight loss and gain

Alcohol

sex education

malnutrition

Influence of drugs

Sexually transmitted infections

Physical exercise and sports

Emotion management

Interpersonal relationships

Other (please specify)

Questionnaire to identify the attitude of students to a healthy lifestyle.

    Age years.

    Gender: a-male; b-female

    How do you spend your free time?

a) I read books

b) I go to the cinema, to the theater;

c) I watch TV

d) walking with a friend;

d) I play sports.

4. Have you heard anything about tobacco and alcohol?

a) yes;

b) no.

5. From whom did you first learn about tobacco and alcohol?

a) from parents

b) from teachers;

c) from friends;

d) from radio, TV, from a newspaper;

e) from other sources.

6. How do alcohol and tobacco affect human health?

a) improve;

b) worsen;

c) do not affect;

d) I don't know.

7. Do you think that when you grow up you will be able to do without the use of harmful substances (tobacco and alcohol)?

a) yes;

b) no;

c) I don't know.

Action Plan,

aimed at the prevention of substance use

2014 – 2015 academic year

Events

Responsible

Deadlines

Identification of students who abuse tobacco and the creation of a data bank.

Class teachers, social teacher.

September

Strict control over students who abuse

smoking.

Drafting of acts.

Class leaders, social pedagogue, parent committee

September

Organization of employment of children of the “risk group” in leisure activities.

September

Petitions to the KDN for students who abuse tobacco.

School administration, social worker.

October

Measures for the prevention of substance abuse within the framework of the action "We are for a healthy lifestyle"

School administration,

November

Class hour dedicated to the International No Tobacco Day: “There is no harmless tobacco”

November

World AIDS Day:

"Know how to say no!"

Honey. Employee,

Competitions for schoolchildren "Presidential competitions" and "Presidential sports games"

Class leaders, teacher of physical culture, social pedagogue.

October December

Legal Knowledge Month

(according to a separate plan)

School administration,

Class leaders, social educator.

January February

10.

Raids of class teachers together with members of the RK

School administration, members of the parent committee, social teacher.

March

11.

Conducting trainings "Drugs or healthy lifestyle"

Class leaders, teacher of physical culture, social pedagogue.

March

12.

World Health Day.

health week.

Class leaders, teacher of physical culture

13.

"I can choose" - safe behavior training

Class leaders, social pedagogue.

April

14.

A cycle of class hours on the prevention of substance use (on World No Tobacco Day)

Class leaders, social pedagogue.

May

15.

"Lecture on the dangers of alcohol, smoking and drug addiction"

Questions:

the problem of surfactant use by adolescents in the modern world; prerequisites and motivation for the use of surfactants;

model of risk factors and factors of protection against the use of surfactants;

the specifics of work on the prevention of the use of psychoactive substances in educational institutions;

evaluation of the effectiveness of preventive measures.

Class leaders, social pedagogue,

Deputy director of VR

May

16.

Watch the Stop Smoking video.

Class leaders, social pedagogue.

Deputy Director for BP

May

17.

Debates and round tables:

“All About Substance Abuse”, “One Step Before Drugs”, “Learn to Control Yourself”, “Alcohol and Teenagers”.

Meetings with medical workers from the Central District Hospital

Classroom teachers

OBJ teacher

During a year

18.

Legal hour "Hooliganism. Administrative and criminal liability”, “Influence of mass media”

social studies teacher,

OBJ teacher

During a year

WAYS OF INFLUENCE ON A TEENAGER

    Medical – provides for informing students about the negative consequences of taking drugs on physical and mental health;

    Educational – provides for the provision of adolescents and young people with full information about the problem of the use of psychoactive substances;

    Psychological - the development of certain in resisting group pressure, in getting out of a conflict situation, in the ability to make the right choice;

    Social – assistance in the social adaptation of schoolchildren. Training in communication skills.

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Questionnaire «Healthy lifestyle»

1. General information

A healthy lifestyle is a complex concept that includes many components. This includes all spheres of human existence - from nutrition to emotional mood. A healthy lifestyle is a way of life aimed at a complete change in previous habits regarding food, physical activity and rest.

The relevance of a healthy lifestyle is due to the increase and change in the nature of the loads on the human body due to the increase in the risks of technogenic and environmental nature and the complication of the social structure. In the current situation, concern for the health and well-being of the individual is associated with the survival and preservation of man as a species. healthy lifestyle profile

It is impossible to explain what a healthy lifestyle (HLS) is in a few words. According to the official definition, it is a way of life aimed at promoting health and preventing diseases. Supporters of a healthy lifestyle as a philosophical and sociological trend consider this concept as a global problem and an integral part of public life. There are other aspects of the concept of healthy lifestyle - psychological and pedagogical, medical and biological, but there is no sharp distinction between them, since they all solve the same problem - strengthening the health of the individual.

Medical experts believe that health is 50% dependent on lifestyle, the rest of the influence factors are distributed as follows: environment - 20%, genetic base - 20%, level of health care - 10%.

A healthy lifestyle is a prerequisite and necessary condition for:

§ Full development of various aspects of human life;

§ Achievement by a person of active longevity;

§ Active participation of a person of any age in social, labor, family activities.

Interest in this topic arose relatively recently (in the 70s of the XX century) and was associated with a change in the lifestyle of a modern person, an increase in life expectancy, a global change in the human environment, and an increase in the influence of environmental factors on human health.

Modern people began to lead a less mobile lifestyle, eat more food and have more free time. At the same time, the speed of life has increased significantly, which has increased the number of stress factors. Doctors note that the number of hereditary diseases is increasing every year. In this regard, the question of how to stay healthy (spiritually and physically) and at the same time live a long and active life becomes very relevant.

2. Questionnaire

Read the question carefully, mark in any way no more than three points

1. What is a healthy lifestyle in your opinion?

a) it is a way of life aimed at maintaining health;

b) this is the observance of the daily routine and proper nutrition;

c) these are sports and hardening.

d) I don't know.

2. Is your lifestyle healthy?

c) partially;

G) don't know.

3. How much success in a person's life depends on his lifestyle?

a) 80-100%

d) does not depend.

4. Why would you lead a healthy lifestyle?

a) so as not to be disturbed by illness;

b) to live long;

c) to look beautiful;

d) to achieve everything in life.

5. What circumstances might prompt you to change your lifestyle?

a) an example of parents;

b) an example of people I respect;

c) illness;

d) visual information in facts and figures;

6. Do you use alcohol, tobacco, drugs?

c) tried

d) already refused.

7. Do you discuss your problems with your parents?

c) I try, but I can’t express everything, I’m shy;

d) I try, but my parents misunderstand me.

8. How do you deal with stress?

a) I listen to classical music;

b) go to the gym

c) doused with cold water;

d) grab a cigarette or a can of beer.

9. Do you have three cherished desires?

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HEALTH ASSESSMENT QUESTIONNAIRE

Part 1. Information about the surveyed

1 . ________________________________________________________ _________________________

Surnames First name

2. Gender(circle) Woman Man (RF)

3. Date of birth:

Day month Year

4. Circle the operations you have transferred:

Back heart kidney eyes ears hernia
light joints neck other surgeries _________

5. Circle the name of any of the diseases listed below, in connection with which you were diagnosed or consulted a doctor:

alcoholism diabetes mental illness

sickle cell anemia epilepsy glaucoma

Emphysema other cases of anemia gout

neck strain asthma hearing loss

Obesity sprained back heart disease

Phlebitis bleeding high blood pressure

Rheumatic arthritis Chronic bronchitis Hypoglycemia

stroke cancer hyperlipidemia

Thyroid disease cirrhosis of the liver infectious mononucleosis

Ulcer concussion other diseases ____________

Congenital heart disease kidney disease

^ 6. Circle all medicines taken within the last six months:

antiarrhythmic drugs aspirin antihypertensive drugs
digitalis diuretics sugar lowering pills
anticonvulsants insulin nitroglycerin
other medicines ____________

7. Any of the symptoms listed below, if it occurs frequently, indicates the need to see a doctor. Circle the number of manifestations of the following symptoms:

5 - very often 4 - often 3 - sometimes 2 - infrequently 1 - almost never

a. Blood when coughing e. Chest pain

1 2 3 4 5 1 2 3 4 5

b. Pain in the lower abdomen. Swelling of the joints

1 2 3 4 5 1 2 3 4 5

in. Pain in the lower back h. Light syncope

1 2 3 4 5 1 2 3 4 5

d. Leg pain i. Dizziness

1 2 3 4 5 1 2 3 4 5

e. pain in the arm or shoulder j.

1 2 3 4 5 light physical activity

Part 2. Lifestyles affecting health

^ 8. Do you currently smoke? Not really

9. What is the nature of your diet

1-2 times a day - fractional

Diet - food supplements - other _____________________

^ 9. Have you ever been involved in sports, if so, what kind? How long?

________

10. Do you exercise regularly? Not really

sport ____________________________ fitness ______________________________

other ___________________________ break in training __________________

^ 11. The purpose of your fitness activities

Body shaping - health improvement/rehabilitation - active recreation/communication

Weight loss - physical improvement qualities - other _____________________

12. List the features that are not reflected in the questionnaire, which may cause difficulties in testing physical fitness or conducting classes in a fitness program.

_______________________________________________________________________________________________________

Need for additional advice

________________________________________________________________________________________

What types of fitness training are you interested in?

________________________________________________________________________________________

Galina Georgievna Ryabova
Questionnaire for parents to assess the health status of their child and its timely adjustment

Questionnaire for parents

for assessment of your child's health

and its timely correction

Dear parents! Read the content carefully questionnaires and try to answer the questions as accurately as possible. You need this information to assessment of your child's health

Are there: 1. Headaches (unreasonable, with excitement, after exercise, after visiting kindergarten) Yes No

2. Tearfulness, frequent mood swings, fears Yes No

3. Weakness, fatigue after exercise (in kindergarten, at home) Not really

4. Sleep disturbance (long falling asleep, light sleep, sleepwalking, bedwetting, difficulty waking up in the morning) Yes No

5. Excessive sweating or red spots when excited Yes No

6. Dizziness, unsteadiness when changing body position Yes No

7. Fainting Yes No

8. Motor disinhibition (can't sit still for long) Not really

9. Obsessive movements (pulls clothes, hair, licks lips, bites nails, sucks thumb, blinks fast, stutters) Yes No

10. Pain, discomfort in the region of the heart, palpitations, interruptions Yes No

11. High blood pressure Yes No

12. Often runny nose (4 or more times a year) Not really

13. Frequent cough (4 or more times a year) Not really

15. Abdominal pain Yes No

16. Abdominal pain after eating Yes No

17. Abdominal pain before meals Yes No

18. Nausea, belching, heartburn Yes No

19. Violation of the stool (constipation, diarrhea) Not really

20. Diseases of the stomach, liver, intestines Yes No

21. Lower back pain Yes No

22. Pain during urination Yes No

23. Reaction to some food, smells, flowers, dust, medicines (swelling, difficulty breathing, rash) Not really

24. Reaction to vaccinations (rash, swelling, difficulty breathing) Not really

25. Appearance of exudative diathesis (skin redness, peeling, eczema) Not really

Assessment of the questionnaire test:

1. Questions 1-9: with a positive answer to questions 1,2,5 - separately or in combination (e.g. 1&2; 2&3; 3&5; etc.)- observation by the doctor of the institution; with a positive answer to questions 2,4,6,7,8,9 separately or in combination (for example, 1 and 4; 2 and 6; 3 and 7, etc., as well as with a positive answer to 3 or more questions of this section (in any combination)– Consultation of a neurologist is obligatory.

2. Questions 10-11: with a positive answer to each or both questions, an examination by a doctor of the institution according to the indications of a consultation with a rheumatologist.

3. Questions 12-14: with a positive answer to each or several questions of this section, an otolaryngologist consultation is required.

4. Questions 15-20: with a positive answer to one of the questions 15,20 - 16, 17,18,19, as well as to 2 or more questions of this section (in any combination)– examination by a doctor of the institution – consultation of a gastroenterologist.

5. Questions 21-22: with a positive answer to one or both questions - an examination by a doctor of the institution, according to indications, additional special studies and a consultation with a neurologist.

6. Questions 23-25: with a positive answer to one or three questions -

examination by a doctor of the institution, according to indications, consultation of an allergist.

take care health young - be careful state of health

your child and in a timely manner help him!

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