St. Irenaeus Health Ministry presents The Healthy Living Survey Caring for the Body, Mind and Spirit
In an effort to address YOUR needs and to help the Health Ministry plan appropriate programs, please check the following boxes below that interest you and your family. We appreciate your input and thank you for being part of this survey.
Choose one of the following options:
Male Female
20 and Under 21-39 40-61 62 and over
Physical Health:
Aging Well Allergies/Asthma Arthritis Cancer Chronic disease: Diabetes Heart disease/stroke Hypertension Lung disease Sexually transmitted Fibromyalgia Lupus Navigating the Health Care System Physical disability
Healthy Living:
Caring for the Caregiver Eating Disorders Food & Nutrition – Fast Food vs. Family dinner First Aid Training/CPR Healthy Snacks & Lunches Men’s Health Mother/Child Health Overweight children Parenting: Adolescents Pre-school, school age Parish-wide Weight Loss Challenge Substance Abuse Alcohol & Drugs Women’s Health
Mental Health:
Advance Directives/Durable Pwr of Atty. Alzheimer’s Anxiety/Panic Attacks Creating a Clutter-Free Home Dementia Depression Elder Care End-of-Life Issues Improving Memory Loss & Grief Respite Care Stress Reduction Suicide Prevention Transition Tips for Retirement
Family Health:
Blended families Divorce Domestic Violence How to Enjoy a Thriving Marriage Is My Child Too Busy? Living Green Loneliness & isolation Marital enrichment Overweight children Raising Caring Kids Raising Grandchildren Relationship & Life Balance Single Parenting Time Management
Spiritual Health:
Body, Mind & Spirit Connection Centering prayer Healing Services Healing Touch How to Improve Your Spiritual Health Inviting God Within Meditation & the Relaxation Response Power to Forgive and Reconcile Renew & Balance Your Life Spiritual Assessment Spirituality & Health Spiritual Support & Development The Eucharist and the family The Trinity: Loving and Relating
Optional Information:
Name Home Phone E-mail
May we contact you for your ideas?
Yes No
Would you like to be a part of Health Ministry?