MAPEH 8

SELF- INVENTORY
(ACTIVE OR PASSIVE?)

READ AND ANSWER EACH ITEM BELOW WITH YES OR NO. TOTAL THE NUMBER OF YOUR
RESPONSES FOR THE INTERPRETATION OF SCORE. DO THIS ACTIVITY IN YOUR ACTIVITY
NOTEBOOK.

1. DO YOU SMOKE?
2. IS THERE SOMEONE WHO LIVES WITH YOU, WHO SMOKE?
3. DO YOU HAVE FRIENDS WHO SMOKE?
4. ARE YOU OFTEN EXPOSED TO CIGARETTE SMOKE?
5. DO YOU STAY AROUND PEOPLE WHO SMOKE?
6. WHEN PEOPLE AROUND YOU SMOKE, DO YOU LET THEM KNOW THAT YOU DO NOT
WANT TO INHALE OR SMELL THEIR SMOKE?
7. HAVE YOU TRIED GIVING DISAPPROVING LOOK AT PEOPLE WHO SMOKE TO LET THEM
KNOW THAT YOU INDIRECTLY DISLIKE SMOKING?
8. HAVE YOU EVER COMMENTED ABOUT SOMEONE SMOKING BUT NOT LISTEN TO YOUR
APEAL?
9. HAVE YOU EVER ASKED SMOKERS TO GET RID OF THEIR SMOKE?
10. HAVE YOU EVER ASKED SMOKERS TO TRANSFER TO ANOTHER PLACE SO THAT YOU
WOULD NOT INHALE THEIR SMOKE?
11. HAVE YOU EVER TRIED MOVING AWAY FROM A SMOKER WHO DOES NOT LISTEN TO
YOUR APPEAL?
12. IF YOU ARE IN A VEHICLE AND SOMEONE IS SMOKING, DO YOU ROLL DOWN THW
WINDOW OR TURN TOWARDS THE WINDOW TO AVOID INHALING SMOKE?
13. HAVE YOU EVER TRIED MOVING AWAY FROM A SMOKER WITHOUT ASKING HIM/HER
TO MOVE AWAY INSTEAD?
14. WILL YOU JUST LET SMOKERS NEAR YOU, CHOOSING TO BE PASSIVE, SAYING
NOTHING, AND DOING NOTHING?
15. ARE YOU AFRAID THAT IF YOU SPEAK OUT AND ASK A SMOKER TO STOP SMOKING OR
MOVE AWAY FROM YOU, THAT HE/SHE WILL LAUGH OR GET MAD AT YOU?
½ CROSSWISE
WHICH ZONE ARE YOU IN?
COPY AND ANSWER BOX A IF YOU ARE IN THE PASSIVE ZONE. ON THE OTHER HAND, COPY AND
ANSWER BOX B IF YOU ARE IN THE ACTIVE ZONE.
BOX A (PASSIVE ZONE)
1. MY FIRST STEP IN STANDING UP FOR MY
RIGHTS WHEN I AM IN DANGER OF BEING
EXPOSED TO CIGARETTE SMOKE IS
_______.
2. THE LAST TIME I INHALED SOMEONE
ELSE’S SMOKE, I BECAME A PASSIVE
SMOKER BECAUSE___________.
3. I WILL DO THE FOLLOWING STEPS TO
BECOME A PASSIVE SMOKER
BECAUSE_______.
4. I KNOW THAT THE BENEFITS OF BEING
ACTIVE ON AVOIDING CIGARETTE SMOKE
ARE________.
BOX B (ACTIVE ZONE)
1. I WILL HELP PASSIVE SMOKERS WHO ARE
AFRAID TO STAND UP FOR THEIR RIGHTS
TO SPEAK UP FOR THEMSELVES ON THE
ISSUE OF SECOND HAND SMOKE BY
_______.
2. EVERTIME A PERSON SMOKES NEAR MW,
I POLITELY REACT BY ________.
3. THE FOLLOWING ARE MY WAYS OF
PROTECTING MY HEALTH FOM THE
DANGERS OF CIGARETTE SMOKE:
_________________.
4. THE BENEFITS OF SHARING THIS HEALTHY
INFORMATION WILL BE ___________.