A Healthy Family: Questionnaire

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What types of drinks do you usually have during the day and night? I will usually have one bottle of soda half way through the day. The rest of the day is water.

How often does your family seek dental care?
My children and I visit the dentist every six months for a cleaning. My husband has cleanings every 3 months due to having soft teeth.

How often do family members have bowel movements? Urinate?
Me: Varies but once every 2-3 days
Husband: Every morning after coffee
Son 1: once every 1-2 days
Son 2: every2-3 days
Daughter: 2-3 times a day
All except Son2, urinate every few hours throughout the day and we are able to go 8 hours at night. Son 2 has a bladder like a horse and does not urinate nearly as often.

Are laxatives used in your family? Explain.
We do not use stimulant laxatives very often, but on occasion Son2 will need pedialax. Mostly we just make it a point to eat a high fiber diet and drink plenty of fluids to stay regular.

How does your family relax?
Relaxation starts with me and my husband on one couch and the kids the other couch. During this time we are usually reading, writing, playing games or watching TV. Within an hour or two everyone migrates to the couch were my husband and I are sitting and squishes their way in. By this time I have realized that relaxation time is over and I go find something else to do.

What does your family do for enjoyment?
Mostly we just like to be outside keeping active. Some of our favorite activities are bike riding, hiking, baseball and hockey.

When does your family generally go to bed and awaken? Do family member go to bed and awaken at different times? The children start to prepare for bed at 8:00pm by changing into Pjs brushing teeth and getting in their last glass of water or snack before bed. By 8:30pm they are in bed and they are allowed to read until they fall asleep, no more than 30 minutes though. My husband stays up until 10 and I will usually stay up until about 11:00pm. My husband gets up at 5:30am and leaves for work at 6:30. I wake up at 6:30 and start waking the children between 6:50 and 7 am.

Do any family members work at night?
No

Are there any hearing or visual problems that affect your family members? Both my Husband and I are near sighted. I require glasses on a daily bases, but my husband only needs them for long drives when his eyes get tired. Son2 seems to have an issue with tracking, but testing is still being done.

Does pain seem to be a family problem? Explain how this is managed? Son2 and I both suffer from migraines. This is managed by taking Exedrine for me or Tylenol for him and going into a dark room to rest.

Who makes the major family decisions? How?
All major Family decisions are discussed between any members they involve and a decision is usually agreed upon. If a no agreement is made then it is up to me to make the decision.

Describe the highest education level of all family members?
Me: PN certificate
Husband: Associates degree
Son1: 5th grade
Son2: 1st grade
Daughter: 1st grade

Describe the general mood of your family?
We are generally happy and relaxed people. We like to take life as it comes and we make it a point not to stress over the little things.

How does your family deal with change?
Like most families there is an adjustment period whenever things change, but we all seem to handle it well. My husband and I try to keep the kids informed of any changes so they know what to expect.

Explain your family responsibilities for house hold chores?
Each child has a list of six chores in which they are responsible for every day. Each of their chores has a different degree of difficulty depending on their age. The chores can be small like put away your back pack, sneaker and coat when you walk into the house or bigger chores for my 10 year old would include taking out the trash or emptying the dishwasher. My husband and I fill in the gaps of what the kids missed or are...
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