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Mobility and Health Management of Aging

The document is a health survey for aging individuals that collects information on weight, physical activity levels, lifestyle habits, and existing health conditions. It asks respondents about weight classification, time spent at work or home, engagement in physical activities, frequency of exercise, perceived health benefits, self-rated health, existing lifestyle diseases like hypertension or diabetes, frequency of doctor visits, lifestyle management practices, and unhealthy habits like smoking that could impact health.

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Christina Aure
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29 views2 pages

Mobility and Health Management of Aging

The document is a health survey for aging individuals that collects information on weight, physical activity levels, lifestyle habits, and existing health conditions. It asks respondents about weight classification, time spent at work or home, engagement in physical activities, frequency of exercise, perceived health benefits, self-rated health, existing lifestyle diseases like hypertension or diabetes, frequency of doctor visits, lifestyle management practices, and unhealthy habits like smoking that could impact health.

Uploaded by

Christina Aure
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Mobility and Health Management of Aging

Name:_____________________ Age:____
Date: _________________ Gender:___

1. Weight description
a. Underweight
b. Normal
c. Overweight
d. Obese

2. Where do you spend most of your time?


a. Work
b. Sports
c. Home
d. Others

3. Do you engage yourself in physical activities?


a. Yes
b. No

4. If yes, what type of physical activity?


a. Zumba
b. Aerobic Exercises ( Walking, Running, Swimming, Cycling)
c. Volleyball/ Basketball
d. Others

5. How often do you participated in physical activities?


a. Weekly
b. Once a month
c. Rarely
d. Never

6. Does it give benefits to you or make any changes about your health?
a. Yes
b. No
c. Maybe

7. Do you consider yourself healthy?


a. Yes
b. No
c. Maybe
8. Do you have any lifestyle disease?
a. Yes
b. None

9. If yes, what kind of disease do you have?


a. Hypertension
b. Diabetes
c. Cardiovascular diseases
d. Others

10. How often do you consult to your health professional doctor?


a. Once a month
b. Every 3-4 months
c. Rarely
d. Never

11. How do you manage your lifestyle?


a. Eating healthy foods
b. Regular Exercise
c. Both
d. None of the above

12. What kind of vices or habits that probably affects your health?
a. Smoking
b. Drinking alcoholic beverages
c. Binge eating
d. Others

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