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INFORMATION FOR YOUR DOCTOR Physical and emotional health go together. You can help us provide you with the best health care possible by answering these questions. Please circle the box that best
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How to fill out physical and emotional health

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To fill out physical health, focus on maintaining a balanced diet, engaging in regular exercise, getting enough sleep, and staying hydrated.
02
To fill out emotional health, prioritize self-care activities such as practicing mindfulness or meditation, engaging in hobbies and activities that bring joy, cultivating positive relationships, and seeking support from a therapist or counselor if needed.

Who needs physical and emotional health?

01
Everyone needs physical and emotional health.
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Physical health is essential for maintaining overall well-being and preventing various health conditions.
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Emotional health is important for managing stress, building resilience, and maintaining positive mental well-being.
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Physical health refers to the overall well-being of the body, including proper nutrition, exercise, and the avoidance of harmful habits. Emotional health refers to the state of one's emotions, including the ability to manage stress and maintain a positive outlook on life.
Individuals are responsible for ensuring their own physical and emotional health. Healthcare professionals may make recommendations or provide guidance, but ultimately it is up to the individual to take care of themselves.
Physical and emotional health can be maintained through regular exercise, a balanced diet, adequate sleep, stress management techniques, seeking help from mental health professionals when needed, and engaging in activities that bring joy and fulfillment.
The purpose of physical and emotional health is to promote overall well-being, prevent illness and injury, and improve quality of life. By taking care of both our bodies and our minds, we can lead happier, more fulfilling lives.
Information to be reported on physical and emotional health may include medical history, current medications, any existing health conditions, mental health status, and lifestyle factors such as diet and exercise habits.
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