AnthroHealth
Something
New Under the Sun:
Adapting to Change in the 21st Century
Worksheet 1: UVB Radiation Exposure and Vitamin D Supplementation
| Current City of Residence: | How long there? | ||
| Current ZipCode: | |||
| Birthdate: | |||
| Birthplace City: | How long there? | ||
| Other Cities of Residence: | How long there? | ||
| [List Cities and Length of Residence there..] | How long there? | ||
| How long there? | |||
| How long there? | |||
| How long there? | |||
| How long there? | |||
| How long there? | |||
| How long there? |
|
Skin Color: Put an X on the appropriate spot along this continuum. Very Light____________________________________ Very Dark |
|
| Natural Hair Color: | Eye Color: |
|
Sun (UVB)
Exposure: |
Check One: |
| 10 - 20 min | |
| 20 - 40 min | |
| 40 - 60 min | |
| 1 - 1.5 hrs | |
| 1.5 - 2 hrs | |
| 2 - 3 hrs | |
| 3 - 4 hrs | |
| 4 - 5 hrs |
| Sun
(UVB) Exposure: Estimate Monday - Friday exposure between 10 am and 3 pm during the summer as an adult. |
Check One: |
| 10 - 20 min | |
| 20 - 40 min | |
| 40 - 60 min | |
| 1 - 1.5 hrs | |
| 1.5 - 2 hrs | |
| 2 - 3 hrs | |
| 3 - 4 hrs | |
| 4 - 5 hrs |
| Type of Employment: | |
|
Indoors
|
|
|
Outdoors
|
| Severe sunburns: | Check one: | |
|
As
Child
|
Yes | No |
|
As
Adult
|
Yes | No |
| Exercise Outdoors: | |
|
Often
|
|
|
Occasionally
|
|
|
Not
at all
|
| Level of Weekly Activity: | |
|
Sedentary
|
|
|
Mild
|
|
|
Moderate
|
|
|
Active
|
|
|
Extremely
Active
|
|
Do you
Suffer from SAD? |
| Daily Supplements: | ||
| Amount of Vitamin D per Pill | ||
| Multivitamin | ||
| Calcium/Vitamin D | ||
| Vitamin D | ||
| Other | ||
Copyright © 2000 Kathleen E. Fuller. All rights reserved.
