1. I feel good about what I do (studies, job, being a full-time mother/father...).
   
   Almost never
   Sometimes
   Most of the time

2. I like learning new things.
   
   Almost never
   Sometimes
   Most of the time

3. I have the motivation to realize my plans.
   
   Almost never
   Sometimes
   Most of the time

4. I eat a healthy balanced diet according to the official nutritional guidelines.
   
   Almost never
   Sometimes
   Most of the time

5. I avoid excess of salt, sugar and saturated fat (must apply to all three).
   
   Almost never
   Sometimes
   Most of the time

6. I make sure I get enough fiber and vitamins.
   
   Almost never
   Sometimes
   Most of the time

7. I eat meat LESS than three times a week.
   
   Almost never
   Sometimes
   Most of the time

8. My weight is within the normal range.
   
   Almost never
   Sometimes
   Most of the time

9. I drink LESS than three cups of coffee or tea a day.
   
   Almost never
   Sometimes
   Most of the time

10. I drink LESS than 5 oz (three drinks) of alcohol per week.
    
    Almost never
    Sometimes
    Most of the time

11. I use drugs no more than once a month or never.
    
    Almost never
    Sometimes
    Most of the time

12. I smoke LESS than 1 pack of cigarettes per week (less than 3 a day).
    
    Almost never
    Sometimes
    Most of the time

13. During my usual day, I am physically active (I take the stairs instead of the elevator, I walk).
    
    Almost never
    Sometimes
    Most of the time

14. During my usual day, I take time to stretch and to relax.
    
    Almost never
    Sometimes
    Most of the time

15. I exercise at least once a week.
    
    Almost never
    Sometimes
    Most of the time

16. Once I get to bed, I fall asleep easily.
    
    Almost never
    Sometimes
    Most of the time

17. To ease my aches and pains, I prefer natural remedies to medication.
    
    Almost never
    Sometimes
    Most of the time

18. I have a stable sexual partner (or I am celibate).
    
    Almost never
    Sometimes
    Most of the time

19. I am aware of the occupational hazards my job involves (stress, pain, fatigue...) and I take preventive measures.
    
    Almost never
    Sometimes
    Most of the time

20. I am aware of the risks and side effects of contraception (or lack thereof) I and/or my partner use(s). // I am celibate.
    
    Almost never
    Sometimes
    Most of the time

21. I am satisfied with my relationships (friendships, love).
    
    Almost never
    Sometimes
    Most of the time

22. I am satisfied with my sexual life (or: I am celibate by choice).
    
    Almost never
    Sometimes
    Most of the time

23. I am satisfied with the way I spend my leisure time.
    
    Almost never
    Sometimes
    Most of the time

24. I am capable of balancing my budget.
    
    Almost never
    Sometimes
    Most of the time

25. I have a check-up exam at least once every three years.
    
    Almost never
    Sometimes
    Most of the time

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