Self Assessment Check List
Self Assessment Check List |
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| Yes | No | |
| I have a lack of energy and get tired easily | ||
| I am bothered by side effects of my HIV treatment | ||
| I have (or other people have) noticed a change in my physical appearance (face, arms, legs, buttocks, torso, neck) | ||
| I am concerned about what the future holds for me | ||
| I have been thinking of stopping my medication | ||
| I am sleeping well | ||
| I am content with the quality of my life right now | ||
| I am hopeful about the future | ||
| I am able to cope with remembering to take my medicines | ||
| I have a close family member (mother/father/brother/sister) who had heart disease before the age of 60 | ||
| I smoke | ||
| I do not take regular exercise | ||
| I have a high blood pressure | ||
| My cholesterol or triglycerides are high | ||
| There is more to life than just surviving – THRIVE | ||
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