Open-ended questions
Tina Wilhite

Values, health perception 1. What do you value most as a family? 2. What health related behaviors do your family practice? 3. What diseases or illness are present in your family? 4. Are there things you would change to promote health in your family?

Nutrition 1. Who eats together at mealtimes? 2. How often do you eat fast food weekly? 3. Who primarily does the cooking for the family? 4. Are the meals prepared at home healthy?

Sleep/Rest 1. What is your children’s bedtime schedule? 2. What is your bedtime routine? 3. Do you feel you get enough rest?

Elimination 1. How often do members of the family have a bowel movement? 2. Is your family very private about going to the bathroom? 3. Does anyone in your family suffer from elimination problems?

Activity/Exercise 1. Would you say your family is active? 2. How much time is spent on video games or the internet daily? 3. How do you and your family get daily exercise?

Cognitive 1. How does your family make decisions about health promotion and disease prevention? 2. Who makes the decision about when to seek health care? 3. Do you have a family physician and have regular checkups?

Sensory-Perception 1. Does anyone in your family have difficulty seeing or wear glasses? 2. Does anyone in your family have difficulty hearing? 3. Does anyone in the family drink alcohol, smoke, or use drugs?

Self-Perception 1. What changes would you like to see in your family? 2. What kinds of feeling do family members have for each other? 3. What would change about raising your children?

Role Relationship 1. Who is the primary caregiver of the family? 2. How do you manage daily living? 3. How are household tasks divided? 4. Who all lives in the home?

Sexuality