Prenatal Welcome Packet Preview | Page 12

Current Health Assessment

There are many things that you can do to maintain or improve your health during pregnancy . For each topic listed below , circle your rating of yourself during this pregnancy on a scale of 1 – 10 .
Higher numbers signify health and balance . Low numbers signal areas to work on . How do you feel , right now ? terrible 1 2 3 4 5 6 7 8 9 10 excellent
How is the quality and quantity of your sleep ? very poor 1 2 3 4 5 6 7 8 9 10 excellent
How do you rate your current diet / nutrition ? very poor 1 2 3 4 5 6 7 8 9 10 excellent
How often do you experience stress ?

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constantly 1 2 3 4 5 6 7 8 9 10 never
How often are you exposed to harmful chemicals , toxins or smoke ? very often 1 2 3 4 5 6 7 8 9 10 never
How often do you exercise ? never 1 2 3 4 5 6 7 8 9 10 daily
Review Your Ratings
What area is your best ?
_______________________________________ _______________________________________
What have you been doing to maintain or improve your health in this area ?
_______________________________________ _______________________________________
What area needs the most work ? _______________________________________ _______________________________________
What one or two things can you work on to improve your health ?
_______________________________________ _______________________________________
It is important to have balance , support and patience when working to improve your health . Start by making small changes in one or two areas . Seek support from professionals , if needed .
12 Healthy Pregnancy