What can I do right now?
Pick the time you have. You get real things from the hundred, in the order that matters most, each one sized to fit. Anything beats nothing.
Tap a time. The list appears here, no sign-up, nothing to fill in.
1 minute
Ordered by impact for everyone. Add a few facts and this reorders for you. 86 things fit 1 minute
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1Tobacco
Rehearse your reply to a cigarette offer: 'No thanks, I'm quitting.' Say it twice, then name the situation where you'll use it.
If pregnant, discuss the safest cessation options with your maternity team before using medication.
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2Movement
Pick a time tomorrow for a short brisk walk and write it in your calendar.
If a health condition limits activity, ask a clinician which type and amount suits you.
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3Heart health
Recall when your blood pressure was last checked and the numbers; if you don't know, that is your cue to book a check.
A clinician should confirm persistent high readings and set treatment targets. Pregnancy needs its own blood pressure care plan.
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4Alcohol
Recall yesterday's drinks, including refills. Count the servings and notice any you normally leave out.
If you have withdrawal symptoms or may be dependent, get clinical help before suddenly stopping alcohol.
From Drink less alcohol
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5Dietary pattern
Build your next meal in your head: name a vegetable, a bean or lentil dish, and a whole grain you already enjoy.
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7Mental health
Rehearse one sentence for an appointment: what has changed, when it started and one everyday task it now makes harder.
Ask for help sooner if symptoms are severe. If you might act on thoughts of suicide or cannot keep yourself safe, contact local emergency or crisis services now.
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8Salt
Name the salty sauce you use most and pick its replacement for your next meal: lemon, garlic, pepper or herbs.
Potassium based salt substitutes need clinical advice if you have kidney disease or take medicines that raise potassium.
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9Sleep
Work back from tomorrow's wake time and choose when to finish optional evening tasks so you leave enough time for sleep.
Talk to a clinician about persistent daytime sleepiness or difficulty sleeping despite enough opportunity.
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10Road safety
Learn the belt check: lap strap low across your hips, shoulder strap across your chest, never under your arm or behind your back.
Ask a pharmacist whether a medicine impairs driving, and avoid driving while affected.
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11Heart health
Recall any close relative with early heart disease and their approximate age; this is useful at your cholesterol review.
A cholesterol test does not automatically mean you need medicine. Pregnancy, very high cholesterol and established heart disease need individualized care.
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12Plant foods
Think through today's meals. Name the next meal missing vegetables, then choose one vegetable to add.
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13Plant foods
Recall your last day's meals: where were the beans, whole grains, fruit or vegetables? Pick one missing source to discuss or add.
If you have a bowel narrowing or have been prescribed a low fiber diet, ask your clinician before increasing fiber.
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14Drinks
Pick the sugary drink you have most often and choose its next replacement: tap water or plain sparkling water.
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15Cancer screening
Look up your country's bowel screening ages (45 to 75 in the US, 50 to 74 in England) and check whether you are in range.
Family history, prior polyps or bowel inflammation can mean earlier testing. Bleeding or persistent bowel changes need assessment rather than waiting for screening; ages 76 to 85 require an individual decision.
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16Plant foods
Choose one staple you eat often and its swap: white bread to wholemeal, white rice to brown, or sugary cereal to oats.
With coeliac disease, choose gluten free whole grains such as brown rice and certified gluten free oats.
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17Movement
Stand up and move for a minute, such as fetching a glass of water; if standing is hard, try seated hip marching.
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18Dietary fats
Think of the fat you use most. If it is butter, ghee, lard or coconut oil, choose olive or rapeseed oil as its replacement.
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19Emergencies
Learn FAST: face drooping, arm weakness, speech trouble, time to call. If signs are happening now, call emergency services now.
This item is about acting fast, not treating anything yourself. Follow the emergency operator's instructions, and do not assume aspirin advice from another country applies to you.
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20Movement
Pick one short trip this week you could walk instead of driving, such as to the shops.
Adapt walking to your mobility and symptoms; step counts do not capture all useful forms of activity.
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21Connection
If a trusted person is nearby, thank them for one specific thing and ask how they are; give their answer your attention.
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22Healthy weight
Write down why you want to change, such as more energy or protecting your heart, and put it where you will see it daily.
Do not pursue intentional weight loss during pregnancy without specialist direction; seek tailored advice with frailty, an eating disorder history or unexplained weight change.
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23Plant foods
Name a meal you already cook with mince, then choose beans or lentils to replace part of the meat next time.
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24Protein foods
Think of your next sandwich: choose hummus or unprocessed chicken in place of ham, salami or other deli meat.
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25Environment
Look up today's air quality index for where you live, and check the advice for your group if it is poor.
Ask for a smoke action plan if you have heart or lung disease. Do not keep a home dangerously hot to exclude smoke; move to a cooled space with cleaner air when needed.
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26Cancer screening
If screening worries you, pick one thing to ask for: a longer appointment, someone with you, or a smaller speculum.
Eligibility depends on having a cervix and your previous results. A removed cervix, past precancer, immune suppression, pregnancy or symptoms can change the plan; tell the screening service.
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27Oral health
Check your toothpaste label: adults should use one with at least 1,350 ppm fluoride.
Persistent bleeding, toothache, swelling or a mouth change needs dental assessment. Ask for cleaning advice around implants, braces or gum disease.
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30Vaccination
Recall your last COVID vaccine and any recent infection, even approximately, so you can ask about timing.
A vaccinator should check immune status, prior myocarditis and product eligibility. Some uses in current CDC guidance are outside FDA labeling, so individual advice matters.
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31Vaccination
Prepare one booking question: which flu vaccine is suitable for my age, health conditions and any pregnancy?
The nasal spray is unsuitable during pregnancy and for some medical conditions. A vaccinator can advise on product choice and timing.
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32Sleep
Ask someone who has seen you sleep whether you snore loudly, gasp or stop breathing; note it with how sleepy you feel by day.
A clinician may recommend a sleep study; this item concerns symptoms, not routine screening of people without symptoms. Do not drive if you feel very sleepy.
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34Protein foods
Choose two meals this week for fish: one with salmon, sardines or trout and one with white fish, if fish is safe for you.
Avoid fish you are allergic to. If you are pregnant, trying for a baby, or 16 or under, avoid shark, swordfish and marlin; limit tuna if pregnant or trying. Girls and women who have not been through the menopause should have no more than 2 portions of oily fish a week.
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35Sexual health
Prepare this question for a sexual health service: which tests and sample sites fit the sex I have, and when should I test?
Condoms do not eliminate every STI risk. Symptoms, pregnancy or a recent possible HIV exposure need prompt clinical advice; testing timing matters.
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36Food choices
Choose one frequent packaged sweet or salty snack to replace, then pick fruit, plain yogurt or a suitable plain nut option.
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37Cancer screening
Choose one thing to tell the screening service when booking: an implant, access need, previous breast cancer or family history.
A new lump, nipple change or other symptom needs prompt assessment even after a normal mammogram. Higher risk and age 75 or older require an individualized plan. Trans and non-binary people may also be eligible depending on anatomy and hormone treatment; ask your GP or screening service.
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38Sleep
Write down how long your sleep problem has lasted and one way it affects your day, to bring to a GP.
Use professional guidance for sleep restriction components; do not sharply reduce time in bed on your own.
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39Vaccination
Recall where your vaccine records might be: a childhood clinic, school service or previous doctor; choose whom to contact first.
MMR is not given during pregnancy and can be unsuitable with immune suppression. Wounds may require earlier tetanus protection; missing primary doses need a catch-up series.
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41Protein foods
Recall yesterday's beef, pork, lamb and processed meat. Pick one repeated meal where beans could replace part of the meat.
If reducing meat during pregnancy or with iron deficiency, ask how to meet iron and B12 needs.
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42Screening
Recall whether a parent or sibling has diabetes, or you had diabetes in pregnancy; bring this up when asking about testing.
Symptoms, pregnancy and higher inherited risk need a separate testing plan. HbA1c can be misleading with some blood conditions.
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43Sleep
Choose a realistic wake-up window for the next few days that still leaves enough time for sleep.
A rigid schedule should not mean accepting chronic sleep deprivation; get help if work or a sleep disorder makes adequate sleep difficult.
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44Movement
Choose one short trip you regularly make and decide which manageable part you could walk or cycle instead.
Choose routes and activity levels suited to local conditions and your abilities.
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45Screening
Prepare a clear request: have I ever been tested for HIV and hepatitis C, and should I arrange either test now?
A positive result needs clinical confirmation and care, and testing is confidential. Treatment for both infections is now very effective, so a result is a starting point rather than a verdict.
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46Sugar
Name your usual sweet topping or added sugar, then choose one change: less sugar in tea, or whole fruit instead of honey.
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47Brain health
Before your next conversation, turn down background noise or move somewhere quieter, and face the person so you can see their mouth.
Sudden hearing loss, hearing that gets worse over a few days or weeks, or hearing loss with earache or discharge needs an urgent appointment. Treat hearing aids as treatment for hearing loss, with realistic expectations about any effect on thinking.
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48Infection prevention
Wash your hands now the full way: wet, soap, scrub backs, between fingers and under nails for 20 seconds, rinse and dry.
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49Work life
Recall when you started and finished work yesterday, including evening messages; estimate the total rather than your contracted hours.
If work pressure is affecting your health, discuss support and possible adjustments with a clinician or occupational health service.
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50Targeted nutrients
Prepare this question: 'Do my kidneys or medicines mean I should limit potassium?' Keep it for your pharmacist or clinician.
Kidney disease, or medicines that raise potassium such as ACE inhibitors, ARBs and potassium sparing diuretics, make extra potassium unsafe without clinical advice.
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51Medicine safety
Think of any medicine instruction you are unsure about, such as timing or food, and prepare that question for your pharmacist.
Do not stop prescribed medicines without discussing it. Suspected poisoning or a serious reaction needs prompt help from local emergency or poison services.
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52Mobility
Identify one everyday task your back pain limits, and how long that has been happening, so you can describe it when seeking help.
Call emergency services or go to A&E for back pain with new bladder or bowel changes, numbness around the genitals or anus, or weakness or numbness in both legs.
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53Home safety
Look along your next walking route for a loose rug, cable or object; ask for help with anything you cannot safely move.
Repeated falls, fainting or new unsteadiness need assessment. The study result came from targeted programmes, not simply receiving a checklist.
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54Screening
Recall any fracture after a small fall and whether a parent broke a hip; these details help a clinician assess your bones.
Prior fragility fractures, steroid use and other bone diseases require clinical assessment rather than routine screening rules. Evidence is insufficient for universal screening in men; individual risk still matters.
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55Environment
Check today's UV index in your weather app; if it is 3 or higher, plan shade, a hat and sunscreen.
Ask a clinician about extra protection if a medicine increases sun sensitivity or you have had skin cancer. Sunscreen does not make unlimited exposure safe.
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56Vaccination
Recall whether you have had shingles, pneumococcal or RSV vaccines; flag any you cannot remember for a record review.
A clinician should check previous doses, immune suppression and other risk factors. For the shingles vaccine only, wait if you are pregnant or currently have shingles. RSV vaccination in pregnancy is a separate pathway at 32 to 36 weeks to protect the baby, so ask your maternity team. These vaccines do not prevent every cause of pneumonia.
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57Cancer screening
Recall when you started smoking and, if you stopped, your quit year; these are key details for a screening discussion.
Age and smoking status alone do not establish eligibility. A clinician must check pack years, time since quitting and fitness for treatment; national criteria differ.
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58Stress
Let your breathing flow gently in and out for a minute without forcing or holding it; stop if you feel dizzy or more distressed.
If an exercise increases distress, stop and try another approach. Seek professional support when stress keeps disrupting daily life.
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59Targeted nutrients
If pregnancy is possible, prepare your question: 'Which folic acid product is right for me, given my medicines and history?'
Previous neural tube defects, certain medicines or other risk factors may require a different dose prescribed by a clinician.
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60Environment
Choose the coolest place you could use during a heat alert: a cooler room, a cooled public building or someone's home.
Ask about safe fluid intake if you have a fluid restriction. Confusion, collapse or suspected heatstroke needs emergency help and immediate cooling; do not stop medicines on your own.
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61Vision
Think of any recent vision change and when it began; sudden vision loss needs urgent help, not a routine booking.
Sudden vision loss, new flashes or floaters, eye pain or double vision need urgent assessment rather than a routine appointment. Routine glaucoma screening in adults without symptoms is not established, so bring symptoms and family history to the appointment.
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62Crisis support
If safe to talk, ask: "Are you thinking about suicide?" Listen; if danger is immediate, contact emergency services now.
If someone is in immediate danger, contact local emergency services and stay with them if it is safe for you to do so. This is support, not treatment: professional help is still needed.
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64Targeted nutrients
Recall yesterday's meals. Can you name a calcium source, such as milk, fortified plant drink, calcium set tofu or kale?
Discuss supplements if food intake is inadequate, especially with kidney disease, kidney stones or medicines that interact with calcium.
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65Addictive behaviours
Rehearse your opening words to a support service: "Gambling is affecting my life and I need help stopping the harm."
Gambling related distress can turn urgent. Seek immediate crisis support if you feel unsafe or have thoughts of suicide.
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66Hearing protection
Notice the sound around you; if it is loud, move farther away if safe, or ask for the volume to be lowered.
Ask a hearing professional about persistent ringing or trouble hearing, and about protection suitable for your noise exposure.
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67Stress
Put one current problem into a single sentence, then name the part you can influence rather than everything that worries you.
If low mood or hopelessness persists, ask a professional about problem solving therapy or another treatment rather than working through it alone.
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68Mobility
Identify the everyday movement your knee pain limits most, so you can make that a goal in your exercise discussion.
Get clinical advice for a newly swollen, hot or severely painful joint or if a programme makes symptoms persistently worse.
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69Relationships
Privately name one feeling and one need: "I feel overwhelmed and need help with dinner." Use it only in a safe, calm conversation.
If there is fear, coercion or abuse, seek confidential specialist support. Joint counselling can be unsafe in that situation.
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70Targeted nutrients
Recall yesterday: did you have dairy, eggs, fish or iodine fortified food? If none, identify a possible gap to review.
Thyroid disease or a prescribed low iodine diet needs individual guidance. Avoid high dose iodine or kelp supplements unless advised.
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72Tobacco
If you do not smoke, rehearse 'No thanks, I don't vape' for the next offer. You do not need to give a reason.
If pregnant or struggling with nicotine dependence, ask a maternity or cessation professional for help.
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73Home safety
Recall where your nearest smoke and carbon monoxide alarms are; if you do not know, make that your first home safety check.
Possible carbon monoxide exposure requires fresh air and urgent help. An alarm does not replace proper installation and maintenance of fuel burning appliances.
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74Stress
Name your most urgent money worry and one question for an adviser, such as "What help is available if I cannot afford food?"
Seek mental health care if worry or low mood persists or impairs daily life. Urgent distress or thoughts of suicide need immediate crisis support.
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76Stress
For one minute, notice nearby sounds or the support beneath you; gently return when distracted, and stop if it increases distress.
Mindfulness can sometimes increase anxiety or distress. Stop if that happens, discuss it with a clinician, and keep any existing treatment in place.
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77Movement
Choose which meal could be followed by a short, comfortable walk and picture a familiar route you could use.
If you take medicines that can cause low blood sugar, ask your diabetes team how to adjust activity safely.
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79Drinks
Put a glass of water or your usual drink within reach now, staying within any fluid allowance you have been given.
Follow an individualized fluid plan if you have been given a fluid restriction for heart or kidney disease.
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80Caregiving
Name one care task you need help with and one effect on your own health, ready to tell your health or social care team.
If caring is affecting your own mental or physical health, see your own clinician as well as the team supporting the person you care for.
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81Strength
Recall when leakage happens, such as coughing, exercise or sudden urgency, so you can describe it when asking for help.
Get pelvic health advice for pain, difficulty emptying your bladder or uncertainty about technique.
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84Substances
Count the days you used recreational cannabis in the past week. Notice whether use has become daily or hard to control.
Discuss prescribed cannabis with its prescriber before changing treatment; seek professional help for dependence or withdrawal.
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85Targeted nutrients
Recall yesterday's food: if you eat no animal foods, can you name a B12 fortified food or an agreed supplement routine?
The dietary requirement is not a treatment dose. Numbness, balance problems, anemia or malabsorption need clinical assessment.
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86Movement
Recall your last movement session, what you did and for roughly how long, as the first entry in a simple activity record.
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87Sleep
Choose a daylight break in your waking day; if you work nights, plan it around intended sleep rather than a fixed morning rule.
If you work nights or have a diagnosed circadian rhythm disorder, seek advice on timing light around your sleep.
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89Mental health
Prepare one sentence for your maternity team about your mood, past depression or available support, whichever concerns you most.
Discuss symptoms and any medication changes with your care team. Hallucinations, severe confusion or thoughts of harming yourself or your baby need immediate emergency help.
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90Sleep
Choose when screens will go off tonight, at least 30 minutes before bed, and pick a quiet activity to replace scrolling.
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92Digital habits
Pause before opening a feed: name what you came to do and whether scrolling will help; let an unwanted check pass without acting on it.
Do not cut off online support that matters to you. Persistent distress or compulsive use may need professional help.
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93Movement
Identify one usual activity you want to keep doing during pregnancy so you can ask your maternity team how to adapt it.
Your maternity clinician should guide activity when there are pregnancy complications or new concerning symptoms.
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94Sleep
Identify your next main sleep period around your shift and one optional task you can move to protect it.
Seek clinical help if you cannot sleep adequately or remain excessively sleepy despite protecting time for sleep.
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96Wellbeing
Name one value that matters to you, such as being caring, and one tiny action today that shows it. Even tiny actions count.
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97Targeted nutrients
Prepare your question: 'With my outdoor time, skin coverage and health conditions, should I review my vitamin D intake?'
A diagnosed deficiency, kidney disease or high calcium requires individual advice. Treatment doses may differ from prevention doses.
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98Connection
Name one group you value and what would happen to that contact if your work routine changed; identify what you want to keep.
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99Mobility
If uninjured and comfortable, slowly look left, centre, then right without forcing; stop for pain or dizziness.
Ask a physiotherapist about persistent joint pain, recent injury or unusually loose joints.
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100Movement
After a straightforward birth, if you feel up to it, do a few gentle pelvic floor squeezes while sitting or lying down.
Get individual advice for pain, worsening bleeding, pelvic symptoms or complications; the weekly goal is not an immediate target after delivery.
Nothing fits this length yet.
5 minutes
Ordered by impact for everyone. Add a few facts and this reorders for you. 100 things fit 5 minutes
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1Tobacco
List your three strongest smoking triggers, such as coffee, stress or finishing dinner, and choose one alternative response.
If pregnant, discuss the safest cessation options with your maternity team before using medication.
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2Movement
Take an easy five minute movement break using an activity you already tolerate, such as walking or seated movement; stop for pain or feeling unwell.
If a health condition limits activity, ask a clinician which type and amount suits you.
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3Heart health
Contact a pharmacy or clinic to ask for a blood pressure check and the next available appointment.
A clinician should confirm persistent high readings and set treatment targets. Pregnancy needs its own blood pressure care plan.
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4Alcohol
Write down yesterday's drinks with sizes and strengths. If you may be dependent or get withdrawal symptoms, seek medical advice before cutting down.
If you have withdrawal symptoms or may be dependent, get clinical help before suddenly stopping alcohol.
From Drink less alcohol
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5Dietary pattern
Choose one familiar meal and list two changes: add vegetables and replace some meat with cooked beans.
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6Strength
Read the NHS strength routine and identify a stable chair or wall you could use; if pain or limited mobility makes a move uncertain, note it for a physiotherapist.
Ask a physiotherapist for adaptations if pain, injury or a health condition limits your movement.
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7Mental health
Request an appointment for your mood or anxiety through your usual health service; mention if symptoms are worsening.
Ask for help sooner if symptoms are severe. If you might act on thoughts of suicide or cannot keep yourself safe, contact local emergency or crisis services now.
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8Salt
Compare the salt content of two similar foods per 100 g, using packets or online labels; choose the lower salt option.
Potassium based salt substitutes need clinical advice if you have kidney disease or take medicines that raise potassium.
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9Sleep
Review last night: estimate when you slept, when you woke and how alert you felt today; identify one evening task you can move earlier.
Talk to a clinician about persistent daytime sleepiness or difficulty sleeping despite enough opportunity.
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10Road safety
Before your next trip, while parked, set navigation, put your phone away and check that everyone is properly restrained.
Ask a pharmacist whether a medicine impairs driving, and avoid driving while affected.
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11Heart health
Ask your clinic whether a cholesterol test is due and how to arrange it.
A cholesterol test does not automatically mean you need medicine. Pregnancy, very high cholesterol and established heart disease need individualized care.
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12Plant foods
Wash fruit or vegetables you already have and put a portion ready for your next snack or meal, following any prescribed diet.
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13Plant foods
Compare fiber per 100 g on two breads or cereals and choose a suitable higher fiber option; keep any prescribed low fiber diet.
If you have a bowel narrowing or have been prescribed a low fiber diet, ask your clinician before increasing fiber.
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14Drinks
Check the label of your usual drink, including servings per bottle; compare it with an unsweetened alternative.
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15Cancer screening
Check your local screening programme or invitation for your due date; if overdue, request a kit or appointment.
Family history, prior polyps or bowel inflammation can mean earlier testing. Bleeding or persistent bowel changes need assessment rather than waiting for screening; ages 76 to 85 require an individual decision.
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16Plant foods
Compare two bread or cereal ingredient lists for whole grains near the start; check gluten labeling if you have coeliac disease.
With coeliac disease, choose gluten free whole grains such as brown rice and certified gluten free oats.
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17Movement
Do the NHS seated moves: chest stretch, upper-body twist and hip marching, or take a short walk if you can.
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18Dietary fats
Compare two spreads per 100 g for saturated fat, choosing a suitable lower saturated fat option.
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19Emergencies
Save your emergency number (112 in the EU, 999 in the UK, 911 in the US) and learn heart attack signs: chest pain or pressure, breathlessness, cold sweat.
This item is about acting fast, not treating anything yourself. Follow the emergency operator's instructions, and do not assume aspirin advice from another country applies to you.
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20Movement
If you can walk, take a five minute walk at a comfortable pace, even just around the block.
Adapt walking to your mobility and symptoms; step counts do not capture all useful forms of activity.
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21Connection
Send someone you trust a specific invitation, such as a 15-minute call tomorrow, and offer a time that works for you.
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22Healthy weight
Note your usual sleep and movement, then choose one small habit to work on; leave weight loss targets for a discussion about what suits your health.
Do not pursue intentional weight loss during pregnancy without specialist direction; seek tailored advice with frailty, an eating disorder history or unexplained weight change.
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23Plant foods
Drain and rinse cooked canned beans for a salad or soup; choose a portion that suits your digestion and any prescribed diet.
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24Protein foods
Scan your usual sandwich fillings for bacon, ham, salami and cured poultry; add a suitable replacement to your shopping list.
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25Environment
If there is an alert or smoke, follow its advice and pick a cleaner indoor place you could use, one you can also keep cool.
Ask for a smoke action plan if you have heart or lung disease. Do not keep a home dangerously hot to exclude smoke; move to a cooled space with cleaner air when needed.
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26Cancer screening
If you have a cervix, check your invitation or contact your local service to ask whether screening is due and how to book.
Eligibility depends on having a cervix and your previous results. A removed cervix, past precancer, immune suppression, pregnancy or symptoms can change the plan; tell the screening service.
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27Oral health
Brush every surface of all your teeth for about 2 minutes with fluoride toothpaste, then spit out the excess without rinsing.
Persistent bleeding, toothache, swelling or a mouth change needs dental assessment. Ask for cleaning advice around implants, braces or gum disease.
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28Food safety
Check your fridge: keep raw meat sealed and separate from ready to eat food; check its thermometer reads 4 C or colder.
If you are pregnant, 65 or older, or have weakened immunity, extra food precautions apply: avoid unpasteurized milk and cheese, and heat brie, camembert, blue cheese, queso fresco and deli meats until steaming hot. Many pasteurized soft cheeses, like mozzarella or cottage cheese, are fine. Ask your clinician or maternity team.
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29Plant foods
If nuts are safe for you, compare two packs for added salt and sugar, then set aside a small handful for a usual snack.
Avoid nuts that trigger an allergy; choose other suitable foods with a clinician or dietitian if needed.
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30Vaccination
Check your national vaccination service for the current offer and ask a pharmacy or clinic if you are eligible.
A vaccinator should check immune status, prior myocarditis and product eligibility. Some uses in current CDC guidance are outside FDA labeling, so individual advice matters.
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31Vaccination
Check the current local flu offer and request a suitable appointment through your clinic, pharmacy or maternity service.
The nasal spray is unsuitable during pregnancy and for some medical conditions. A vaccinator can advise on product choice and timing.
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32Sleep
If you have gasping, observed pauses or persistent daytime sleepiness, start an appointment request and describe those symptoms.
A clinician may recommend a sleep study; this item concerns symptoms, not routine screening of people without symptoms. Do not drive if you feel very sleepy.
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33Vaccination
Check your HPV vaccination record or request it from your clinic or school vaccination service.
Postpone HPV vaccination during pregnancy. Vaccination does not replace cervical screening; adults over 26 generally have less benefit.
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34Protein foods
Check the guide's fish limits for your life stage before shopping; avoid any fish you are allergic to.
Avoid fish you are allergic to. If you are pregnant, trying for a baby, or 16 or under, avoid shark, swordfish and marlin; limit tuna if pregnant or trying. Girls and women who have not been through the menopause should have no more than 2 portions of oily fish a week.
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35Sexual health
Find a local sexual health service and request advice on confidential testing; mention symptoms, pregnancy or a recent exposure.
Condoms do not eliminate every STI risk. Symptoms, pregnancy or a recent possible HIV exposure need prompt clinical advice; testing timing matters.
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36Food choices
Compare two versions of a usual packaged food for salt, sugar, saturated fat and fiber; choose the option that improves your usual meal.
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37Cancer screening
Check your local screening invitation or due date and contact the service to book or change the appointment if needed.
A new lump, nipple change or other symptom needs prompt assessment even after a normal mammogram. Higher risk and age 75 or older require an individualized plan. Trans and non-binary people may also be eligible depending on anatomy and hormone treatment; ask your GP or screening service.
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38Sleep
If sleep problems persist or make daily life hard, start an appointment request and ask about CBT-I; include how long this has been happening.
Use professional guidance for sleep restriction components; do not sharply reduce time in bed on your own.
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39Vaccination
Request your vaccine record from that service or check the record you already have.
MMR is not given during pregnancy and can be unsuitable with immune suppression. Wounds may require earlier tetanus protection; missing primary doses need a catch-up series.
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40Balance
Read the NHS balance routine and its support advice; if you have fallen, feel dizzy or unsteady, start a request for a tailored balance assessment.
If you have fallen, feel unsteady or have dizziness, ask for a tailored exercise plan before practising unsupported.
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41Protein foods
Review your usual red and processed meat portions using cooked weights; the NHS reduction advice applies if you average more than 90 g daily.
If reducing meat during pregnancy or with iron deficiency, ask how to meet iron and B12 needs.
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42Screening
Ask your clinic whether your age and risk factors mean a diabetes blood test is due.
Symptoms, pregnancy and higher inherited risk need a separate testing plan. HbA1c can be misleading with some blood conditions.
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43Sleep
Compare your next workday and day-off sleep times; aim to keep them within about an hour where possible, while allowing enough sleep.
A rigid schedule should not mean accepting chronic sleep deprivation; get help if work or a sleep disorder makes adequate sleep difficult.
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44Movement
Check the route for that trip and estimate a comfortable travel time; choose a shorter section if the full journey is too much.
Choose routes and activity levels suited to local conditions and your abilities.
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45Screening
Ask your clinic or sexual health service about confidential HIV and hepatitis C testing and any charges.
A positive result needs clinical confirmation and care, and testing is confidential. Treatment for both infections is now very effective, so a result is a starting point rather than a verdict.
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46Sugar
Compare two similar cereals or yogurts using total sugar per 100 g and the ingredient lists; choose a suitable option with less added sugar.
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47Brain health
For gradual hearing difficulty, request a hearing assessment. For sudden loss, hearing that worsens over days or weeks, earache or discharge, seek urgent care.
Sudden hearing loss, hearing that gets worse over a few days or weeks, or hearing loss with earache or discharge needs an urgent appointment. Treat hearing aids as treatment for hearing loss, with realistic expectations about any effect on thinking.
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48Infection prevention
Check that the sinks where you cook and use the toilet have soap and a clean way to dry hands, and keep sanitizer with at least 60% alcohol for when you're out.
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49Work life
Start a work-hours log with today's start time, breaks and finish time; include work done at home.
If work pressure is affecting your health, discuss support and possible adjustments with a clinician or occupational health service.
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50Targeted nutrients
Check your medicine list and any kidney diet instructions; if unsure about potassium, request a pharmacist or clinician review.
Kidney disease, or medicines that raise potassium such as ACE inhibitors, ARBs and potassium sparing diuretics, make extra potassium unsafe without clinical advice.
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51Medicine safety
Start a list of your medicines, vitamins and supplements; copy the names from the labels without changing how you take them.
Do not stop prescribed medicines without discussing it. Suspected poisoning or a serious reaction needs prompt help from local emergency or poison services.
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52Mobility
Read the NHS back pain warning signs; seek emergency help for new bladder or bowel changes, groin numbness or symptoms in both legs, and arrange routine help for persistent pain.
Call emergency services or go to A&E for back pain with new bladder or bowel changes, numbness around the genitals or anus, or weakness or numbness in both legs.
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53Home safety
Clear small, easy-to-move items from one walking route if you can do so safely; leave lifting and awkward reaching to someone who can help.
Repeated falls, fainting or new unsteadiness need assessment. The study result came from targeted programmes, not simply receiving a checklist.
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54Screening
Ask your clinic whether your age, menopause history, fractures or medicines warrant a bone health review.
Prior fragility fractures, steroid use and other bone diseases require clinical assessment rather than routine screening rules. Evidence is insufficient for universal screening in men; individual risk still matters.
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55Environment
Put together a sun kit you can grab: a hat, UV-protective sunglasses and SPF 30 or higher sunscreen with at least 4-star UVA protection.
Ask a clinician about extra protection if a medicine increases sun sensitivity or you have had skin cancer. Sunscreen does not make unlimited exposure safe.
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56Vaccination
Ask a clinic or pharmacy for a vaccine record review under your country's age and risk criteria.
A clinician should check previous doses, immune suppression and other risk factors. For the shingles vaccine only, wait if you are pregnant or currently have shingles. RSV vaccination in pregnancy is a separate pathway at 32 to 36 weeks to protect the baby, so ask your maternity team. These vaccines do not prevent every cause of pneumonia.
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57Cancer screening
Estimate packs per day multiplied by years smoked; if your smoking changed, list each period separately for your clinician.
Age and smoking status alone do not establish eligibility. A clinician must check pack years, time since quitting and fitness for treatment; national criteria differ.
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58Stress
Get comfortable. Breathe gently in and out, counting up to five each way only if comfortable. Stop if dizzy or more distressed.
If an exercise increases distress, stop and try another approach. Seek professional support when stress keeps disrupting daily life.
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59Targeted nutrients
Request a pharmacist or maternity consultation about folic acid today if pregnancy is possible; mention any previous neural tube defect or relevant medicines.
Previous neural tube defects, certain medicines or other risk factors may require a different dose prescribed by a clinician.
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60Environment
Check the heat alert and opening hours of a cooled place you can use; choose how to get there safely.
Ask about safe fluid intake if you have a fluid restriction. Confusion, collapse or suspected heatstroke needs emergency help and immediate cooling; do not stop medicines on your own.
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61Vision
Contact an optician to ask when your next sight test is due; mention any vision change so they can judge urgency.
Sudden vision loss, new flashes or floaters, eye pain or double vision need urgent assessment rather than a routine appointment. Routine glaucoma screening in adults without symptoms is not established, so bring symptoms and family history to the appointment.
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62Crisis support
Begin helping them contact a local crisis service, or emergency services if danger is immediate. Stay with them if safe; do not stop at five minutes.
If someone is in immediate danger, contact local emergency services and stay with them if it is safe for you to do so. This is support, not treatment: professional help is still needed.
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63Strength
Sort your usual activities into movement on your feet, resistance work and balance; note any gaps and questions about what your bones can safely tolerate.
With osteoporosis, a previous fragility fracture or low bone density, ask a clinician which loading and impact are suitable.
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64Targeted nutrients
Check the calcium per serving on your usual plant drink or tofu; compare a fortified option if yours has none.
Discuss supplements if food intake is inadequate, especially with kidney disease, kidney stones or medicines that interact with calcium.
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65Addictive behaviours
Find a gambling support service in your country and begin a call, chat or referral; help is available before you reach a crisis.
Gambling related distress can turn urgent. Seek immediate crisis support if you feel unsafe or have thoughts of suicide.
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66Hearing protection
Read the hearing protection guide and choose protection for your next noisy activity; keep it with what you will take.
Ask a hearing professional about persistent ringing or trouble hearing, and about protection suitable for your noise exposure.
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67Stress
List three possible responses to that small problem without judging them yet.
If low mood or hopelessness persists, ask a professional about problem solving therapy or another treatment rather than working through it alone.
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68Mobility
If knee arthritis limits you, start an appointment request for a tailored exercise plan; a newly hot, swollen or severely painful joint needs prompt clinical advice.
Get clinical advice for a newly swollen, hot or severely painful joint or if a programme makes symptoms persistently worse.
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69Relationships
If the relationship feels safe, prepare one issue to discuss and one clear request; choose a calm time together.
If there is fear, coercion or abuse, seek confidential specialist support. Joint counselling can be unsafe in that situation.
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70Targeted nutrients
Check your salt or plant drink label for iodine; do not increase salt or change a prescribed low iodine diet.
Thyroid disease or a prescribed low iodine diet needs individual guidance. Avoid high dose iodine or kelp supplements unless advised.
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71Dietary fats
Check one packaged baked food's ingredients for partially hydrogenated oil; if listed, compare an alternative without it.
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72Tobacco
Read the guide's advice for your situation: never smoked, currently smoking, or vaping after quitting cigarettes.
If pregnant or struggling with nicotine dependence, ask a maternity or cessation professional for help.
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73Home safety
Check the test instructions for one alarm; test only if safely reachable without climbing, otherwise arrange help.
Possible carbon monoxide exposure requires fresh air and urgent help. An alarm does not replace proper installation and maintenance of fuel burning appliances.
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74Stress
Find a free, reputable money or debt-advice service in your country and check how to contact it.
Seek mental health care if worry or low mood persists or impairs daily life. Urgent distress or thoughts of suicide need immediate crisis support.
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75Sleep
Check the room from your sleeping position: identify outside light, screens and bright standby lights, then adjust what you can while keeping safe night lighting.
If you need a light on for safety at night, keep it and choose the dimmest option that works for you.
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76Stress
At a safe pause in your day, notice sounds or comfortable sensations without trying to change them; stop if you feel worse.
Mindfulness can sometimes increase anxiety or distress. Stop if that happens, discuss it with a clinician, and keep any existing treatment in place.
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77Movement
Plan a short after-meal route; if you use medicines that can cause low blood sugar, prepare a question for your diabetes team about safe activity.
If you take medicines that can cause low blood sugar, ask your diabetes team how to adjust activity safely.
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78Movement
Read CDC's advice on who should check before vigorous activity; if you have been inactive, have a disability or have overweight, prepare a question for your clinician.
CDC advises checking with a doctor before starting vigorous activity if you have been inactive, have a disability or have overweight.
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79Drinks
Next time you pee, check the colour: the NHS aims for clear pale yellow; if yours is darker, have a drink, unless your fluids are restricted.
Follow an individualized fluid plan if you have been given a fluid restriction for heart or kidney disease.
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80Caregiving
Contact your local carer-support or social-care service to ask for a review of your needs and available breaks.
If caring is affecting your own mental or physical health, see your own clinician as well as the team supporting the person you care for.
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81Strength
Start a request for a pelvic health or continence assessment and describe leakage, pain or difficulty emptying your bladder; ask for help finding the right muscles.
Get pelvic health advice for pain, difficulty emptying your bladder or uncertainty about technique.
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82Home safety
Find your local radiation or public health authority's radon testing advice and check how to obtain an approved kit or qualified tester.
Action levels vary by country and do not mark a completely safe threshold. Use a qualified radon professional to interpret high results and plan mitigation.
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83Wellbeing
If nearby nature is safely accessible, spend five minutes noticing plants, sounds or textures, seated if you prefer; otherwise check an accessible route.
Nature time supports wellbeing but does not replace care for persistent depression or anxiety.
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84Substances
Note recent use and trouble cutting back; contact your clinician about withdrawal or prescribed cannabis before changing it.
Discuss prescribed cannabis with its prescriber before changing treatment; seek professional help for dependence or withdrawal.
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85Targeted nutrients
Check one usual plant drink, cereal or nutritional yeast label for B12; note the amount per serving rather than assuming it is fortified.
The dietary requirement is not a treatment dose. Numbness, balance problems, anemia or malabsorption need clinical assessment.
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86Movement
Make a basic activity log with the activity, date and minutes, using paper or a device you already have; add today's movement.
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87Sleep
If it is daytime and you sleep at night, step outside for five minutes in daylight.
If you work nights or have a diagnosed circadian rhythm disorder, seek advice on timing light around your sleep.
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88Culture
Check your library or local cultural venue's events page and save one free or affordable exhibition or performance.
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89Mental health
Contact your maternity or primary care team about your mood or depression risk, and ask whom to reach if it worsens.
Discuss symptoms and any medication changes with your care team. Hallucinations, severe confusion or thoughts of harming yourself or your baby need immediate emergency help.
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90Sleep
Prepare a screen-free bedtime option, such as a printed book, and choose gentler room lighting that still lets you move safely.
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91Brain health
Open a free beginner resource for a skill you like and try one small exercise, such as drawing a simple object or practising a phrase.
New memory difficulties that affect everyday tasks deserve clinical assessment, not just more learning activities.
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92Digital habits
Mute one distressing feed or switch off its nonessential notifications; keep important contacts and support channels reachable.
Do not cut off online support that matters to you. Persistent distress or compulsive use may need professional help.
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93Movement
Prepare a question for your maternity team about safe activity, including your usual exercise, symptoms and any restrictions you have been given.
Your maternity clinician should guide activity when there are pregnancy complications or new concerning symptoms.
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94Sleep
Check your next shift and travel times, then reserve a main sleep window; note any household noise or light you can reduce.
Seek clinical help if you cannot sleep adequately or remain excessively sleepy despite protecting time for sleep.
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95Connection
Look up one cause you care about and check whether it lists volunteer roles or a contact for enquiries.
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96Wellbeing
Write down three or four values that matter most to you, then pick one small action for this week and decide when you will do it.
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97Targeted nutrients
Read your national vitamin D advice, or the NHS guide if you live in the UK; note whether seasonal or year round advice may apply.
A diagnosed deficiency, kidney disease or high calcium requires individual advice. Treatment doses may differ from prevention doses.
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98Connection
Check the next meeting of a group you belong to, or find one recurring group linked to an interest you already have.
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99Mobility
Do the four NHS moves slowly: neck rotation, neck stretch, sideways bend and calf stretch at a wall, only as far as comfortable.
Ask a physiotherapist about persistent joint pain, recent injury or unusually loose joints.
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100Movement
Write questions for your 6-week postnatal check, such as when you can start running or aerobics, plus any pain or bleeding.
Get individual advice for pain, worsening bleeding, pelvic symptoms or complications; the weekly goal is not an immediate target after delivery.
Nothing fits this length yet.
15 minutes
Ordered by impact for everyone. Add a few facts and this reorders for you. 99 things fit 15 minutes
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1Tobacco
Find your local quit service and request support. In the US, call 1-800-QUIT-NOW; elsewhere, use your national health service.
If pregnant, discuss the safest cessation options with your maternity team before using medication.
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2Movement
Spend five minutes choosing an enjoyable activity and ten minutes finding three realistic places for it in your week; ask about adaptations if a condition limits you.
If a health condition limits activity, ask a clinician which type and amount suits you.
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3Heart health
Find your previous readings and prepare two questions: do I need home monitoring, and when should I follow up?
A clinician should confirm persistent high readings and set treatment targets. Pregnancy needs its own blood pressure care plan.
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4Alcohol
Review a week's drinking and contact an alcohol service if control or withdrawal is a concern. Otherwise, choose one regular drink to replace.
If you have withdrawal symptoms or may be dependent, get clinical help before suddenly stopping alcohol.
From Drink less alcohol
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5Dietary pattern
Make a lunch with ready to eat canned chickpeas, washed vegetables and wholemeal bread; use a little olive oil if suitable for you.
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6Strength
Try three NHS beginner moves slowly: sit-to-stand from a stable chair, calf raises holding it, wall press-ups. Stop if it hurts.
Ask a physiotherapist for adaptations if pain, injury or a health condition limits your movement.
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7Mental health
Prepare a short symptom timeline, your medicines and supplements, and two questions about treatment choices and follow-up.
Ask for help sooner if symptoms are severe. If you might act on thoughts of suicide or cannot keep yourself safe, contact local emergency or crisis services now.
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8Salt
Check your usual bread, sauce and stock labels. Put one lower salt replacement on your next shopping list.
Potassium based salt substitutes need clinical advice if you have kidney disease or take medicines that raise potassium.
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9Sleep
Review the next few evenings and move or shorten optional commitments that crowd out sleep; keep a simple note of sleep and daytime tiredness.
Talk to a clinician about persistent daytime sleepiness or difficulty sleeping despite enough opportunity.
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10Road safety
Read the seat belt guide and check belt fit in your parked car; if it does not fit, ask the vehicle manufacturer about suitable options.
Ask a pharmacist whether a medicine impairs driving, and avoid driving while affected.
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11Heart health
Gather your last cholesterol and blood pressure results; list medicines and any family history of early heart disease for the review.
A cholesterol test does not automatically mean you need medicine. Pregnancy, very high cholesterol and established heart disease need individualized care.
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12Plant foods
Prepare an extra vegetable side for lunch or dinner, using fresh, frozen or canned produce without added salt or sugar.
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13Plant foods
If you have no fiber restriction, plan tomorrow's meals with oats, a bean or lentil dish, vegetables and fruit; start with one change.
If you have a bowel narrowing or have been prescribed a low fiber diet, ask your clinician before increasing fiber.
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14Drinks
Set up tomorrow's drink swap: fill a clean water bottle, chill it if you like, and choose an order without syrup for your usual cafe.
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15Cancer screening
If you already have a FIT kit, read its instructions, check the return arrangements and prepare what you need for your next bowel movement.
Family history, prior polyps or bowel inflammation can mean earlier testing. Bleeding or persistent bowel changes need assessment rather than waiting for screening; ages 76 to 85 require an individual decision.
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16Plant foods
Prepare a wholegrain breakfast you can repeat, such as plain oats with milk or a suitable fortified alternative; follow cooking instructions.
With coeliac disease, choose gluten free whole grains such as brown rice and certified gluten free oats.
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17Movement
Look over a typical workday, mark its longest unmoving spells, and attach short movement breaks to task changes or calls when practical.
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18Dietary fats
Adapt one familiar recipe by replacing its butter or ghee with a small amount of unsaturated oil; list what you need.
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19Emergencies
If nobody has symptoms, rehearse with someone what you would say: your location, the signs and when they began. Never make a test call.
This item is about acting fast, not treating anything yourself. Follow the emergency operator's instructions, and do not assume aspirin advice from another country applies to you.
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20Movement
Walk to the shops, or walk part of an errand you would normally drive.
Adapt walking to your mobility and symptoms; step counts do not capture all useful forms of activity.
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21Connection
Call or talk with someone you enjoy. Share one thing from your day and ask about theirs.
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22Healthy weight
Prepare for a weight discussion: list your concerns, current medicines, previous approaches and one change you could sustain; ask about structured support.
Do not pursue intentional weight loss during pregnancy without specialist direction; seek tailored advice with frailty, an eating disorder history or unexplained weight change.
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23Plant foods
Combine cooked canned chickpeas, washed chopped vegetables and a little olive oil for a lunch; use only ingredients you tolerate.
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24Protein foods
Prepare one lunch with hummus, washed vegetables and bread, or another suitable unprocessed protein.
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25Environment
Read the EPA room guide and choose a room your household can share; check cooling, smoke entry points and indoor particle sources.
Ask for a smoke action plan if you have heart or lung disease. Do not keep a home dangerously hot to exclude smoke; move to a cooled space with cleaner air when needed.
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26Cancer screening
Read what happens at the appointment and prepare your comfort requests; tell the service about pregnancy or previous abnormal results.
Eligibility depends on having a cervix and your previous results. A removed cervix, past precancer, immune suppression, pregnancy or symptoms can change the plan; tell the screening service.
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27Oral health
Read the NHS cleaning guide and practise gentle cleaning between your teeth; ask a dentist about gaps you cannot clean comfortably.
Persistent bleeding, toothache, swelling or a mouth change needs dental assessment. Ask for cleaning advice around implants, braces or gum disease.
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28Food safety
Set up separate boards for raw and ready to eat food; clean boards, utensils and surfaces with hot soapy water.
If you are pregnant, 65 or older, or have weakened immunity, extra food precautions apply: avoid unpasteurized milk and cheese, and heat brie, camembert, blue cheese, queso fresco and deli meats until steaming hot. Many pasteurized soft cheeses, like mozzarella or cottage cheese, are fine. Ask your clinician or maternity team.
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29Plant foods
Prepare a few small snack portions of unsalted nuts, only if safe for you and others in your household; keep the allergen label.
Avoid nuts that trigger an allergy; choose other suitable foods with a clinician or dietitian if needed.
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30Vaccination
Gather previous dose dates, relevant conditions and any past vaccine reaction; prepare your questions about benefit and timing.
A vaccinator should check immune status, prior myocarditis and product eligibility. Some uses in current CDC guidance are outside FDA labeling, so individual advice matters.
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31Vaccination
Gather details of any serious previous vaccine reaction and your health conditions, then check appointment access and timing.
The nasal spray is unsuitable during pregnancy and for some medical conditions. A vaccinator can advise on product choice and timing.
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32Sleep
Prepare a short symptom account for your appointment: what happens at night, what someone else has noticed, and how sleepiness affects your day.
A clinician may recommend a sleep study; this item concerns symptoms, not routine screening of people without symptoms. Do not drive if you feel very sleepy.
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33Vaccination
Ask a vaccination service about local catch-up eligibility; share your previous doses, age at vaccination, pregnancy and immune conditions.
Postpone HPV vaccination during pregnancy. Vaccination does not replace cervical screening; adults over 26 generally have less benefit.
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34Protein foods
Plan two suitable fish meals, including one oily fish; an adult portion is around 140 g cooked.
Avoid fish you are allergic to. If you are pregnant, trying for a baby, or 16 or under, avoid shark, swordfish and marlin; limit tuna if pregnant or trying. Girls and women who have not been through the menopause should have no more than 2 portions of oily fish a week.
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35Sexual health
Prepare a private summary of exposure dates, symptoms and oral, vaginal or anal sex so the service can choose tests and timing.
Condoms do not eliminate every STI risk. Symptoms, pregnancy or a recent possible HIV exposure need prompt clinical advice; testing timing matters.
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36Food choices
List a convenient fallback meal using canned beans, frozen vegetables and a staple grain, choosing foods that fit your dietary needs.
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37Cancer screening
Prepare details of previous mammograms, breast treatment and family history; check where to attend and request any support you need.
A new lump, nipple change or other symptom needs prompt assessment even after a normal mammogram. Higher risk and age 75 or older require an individualized plan. Trans and non-binary people may also be eligible depending on anatomy and hormone treatment; ask your GP or screening service.
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38Sleep
Prepare your appointment notes: bedtime, waking, naps, daytime effects and medicines or sleep products you use; ask which CBT-I options are available.
Use professional guidance for sleep restriction components; do not sharply reduce time in bed on your own.
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39Vaccination
Gather available records and list upcoming travel, pregnancy or immune conditions to discuss at a vaccine review.
MMR is not given during pregnancy and can be unsuitable with immune suppression. Wounds may require earlier tetanus protection; missing primary doses need a catch-up series.
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40Balance
Do the NHS balance moves beside a wall or stable chair: sideways walking, heel-to-toe walking, a one-leg stand with a hand on it.
If you have fallen, feel unsteady or have dizziness, ask for a tailored exercise plan before practising unsupported.
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41Protein foods
Adapt a familiar stew or sauce on paper: replace some meat with cooked beans or lentils and keep vegetables and a starchy side.
If reducing meat during pregnancy or with iron deficiency, ask how to meet iron and B12 needs.
-
42Screening
Gather previous results and family or pregnancy history; prepare questions about the test, confirmation of abnormal results and repeat testing.
Symptoms, pregnancy and higher inherited risk need a separate testing plan. HbA1c can be misleading with some blood conditions.
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43Sleep
Review a week of commitments, choose workable sleep windows and move one optional late task; adapt the plan if shift work prevents a steady schedule.
A rigid schedule should not mean accepting chronic sleep deprivation; get help if work or a sleep disorder makes adequate sleep difficult.
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44Movement
Put comfortable shoes by the door and check the route and walking time for one trip you usually drive.
Choose routes and activity levels suited to local conditions and your abilities.
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45Screening
Prepare dates of previous tests and possible exposures; ask which tests you need and how you will receive the results.
A positive result needs clinical confirmation and care, and testing is confidential. Treatment for both infections is now very effective, so a result is a starting point rather than a verdict.
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46Sugar
Prepare a breakfast of plain yogurt or porridge with whole fruit, using foods you tolerate and no added syrup or honey.
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47Brain health
List the situations where hearing is hard and two things you want help with; include any hearing aids you already use.
Sudden hearing loss, hearing that gets worse over a few days or weeks, or hearing loss with earache or discharge needs an urgent appointment. Treat hearing aids as treatment for hearing loss, with realistic expectations about any effect on thinking.
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48Infection prevention
If you care for children, teach them the full wash: sing Happy Birthday twice while scrubbing backs, fingers and nails, then rinse and dry.
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49Work life
Review last week's calendar and messages, total your actual hours, and identify one recurring task that extends your day.
If work pressure is affecting your health, discuss support and possible adjustments with a clinician or occupational health service.
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50Targeted nutrients
Review yesterday's meals for beans, lentils, vegetables and fruit. If you have kidney disease or relevant medicines, discuss changes before increasing potassium.
Kidney disease, or medicines that raise potassium such as ACE inhibitors, ARBs and potassium sparing diuretics, make extra potassium unsafe without clinical advice.
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51Medicine safety
Complete your medicine list and gather unclear instructions or possible side effects for a pharmacist review; include monitoring appointments.
Do not stop prescribed medicines without discussing it. Suspected poisoning or a serious reaction needs prompt help from local emergency or poison services.
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52Mobility
Prepare a request for assessment: describe the pain, its duration, the tasks it limits and any exercises that worsen it; ask for a suitable movement plan.
Call emergency services or go to A&E for back pain with new bladder or bowel changes, numbness around the genitals or anus, or weakness or numbness in both legs.
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53Home safety
Review your bedroom, bathroom route and stairs for clutter, poor lighting and missing rails; list repairs for a helper or professional.
Repeated falls, fainting or new unsteadiness need assessment. The study result came from targeted programmes, not simply receiving a checklist.
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54Screening
Prepare a short history of fractures, menopause if relevant, family hip fractures and steroid medicines for your appointment.
Prior fragility fractures, steroid use and other bone diseases require clinical assessment rather than routine screening rules. Evidence is insufficient for universal screening in men; individual risk still matters.
-
55Environment
Plan your next outing around shade and local peak UV hours; check sunscreen expiry and pack enough to reapply at least every 2 hours and after swimming.
Ask a clinician about extra protection if a medicine increases sun sensitivity or you have had skin cancer. Sunscreen does not make unlimited exposure safe.
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56Vaccination
Gather vaccine dates, products and relevant health conditions; prepare separate questions about shingles, pneumococcal and RSV protection.
A clinician should check previous doses, immune suppression and other risk factors. For the shingles vaccine only, wait if you are pregnant or currently have shingles. RSV vaccination in pregnancy is a separate pathway at 32 to 36 weeks to protect the baby, so ask your maternity team. These vaccines do not prevent every cause of pneumonia.
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57Cancer screening
Read the screening guide and prepare your age, smoking history and quit date; ask about benefits, false alarms, radiation and local eligibility.
Age and smoking status alone do not establish eligibility. A clinician must check pack years, time since quitting and fitness for treatment; national criteria differ.
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58Stress
Try up to five minutes of comfortable breathing, then use the remaining time to identify one manageable step on a current stressor.
If an exercise increases distress, stop and try another approach. Seek professional support when stress keeps disrupting daily life.
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59Targeted nutrients
Gather your supplement labels and medicine list, noting any folic acid already included, to review with your pharmacist or maternity team.
Previous neural tube defects, certain medicines or other risk factors may require a different dose prescribed by a clinician.
-
60Environment
Move outdoor tasks to cooler hours and arrange a check-in with someone who needs help staying cool.
Ask about safe fluid intake if you have a fluid restriction. Confusion, collapse or suspected heatstroke needs emergency help and immediate cooling; do not stop medicines on your own.
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61Vision
Gather previous eye results and family glaucoma history; if you have diabetes, check the separate retinal screening invitation too.
Sudden vision loss, new flashes or floaters, eye pain or double vision need urgent assessment rather than a routine appointment. Routine glaucoma screening in adults without symptoms is not established, so bring symptoms and family history to the appointment.
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63Strength
Read the NIH examples and sketch a weekly mix; if you have low bone density, a fracture history or physical limitations, request advice before adding new loading.
With osteoporosis, a previous fragility fracture or low bone density, ask a clinician which loading and impact are suitable.
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64Targeted nutrients
List calcium foods in a typical day and their portions; use the NIH age table and labels to identify a possible gap.
Discuss supplements if food intake is inadequate, especially with kidney disease, kidney stones or medicines that interact with calcium.
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65Addictive behaviours
Check your bank's gambling-payment block and ask how to activate it; keep essential payments accessible.
Gambling related distress can turn urgent. Seek immediate crisis support if you feel unsafe or have thoughts of suicide.
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66Hearing protection
If you have ear protection, practise fitting it in a quiet place using the instructions; do not force painful plugs, and check that earmuffs seal around both ears.
Ask a hearing professional about persistent ringing or trouble hearing, and about protection suitable for your noise exposure.
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67Stress
Compare the options for effort, likely benefit and help needed; pick one and specify when you will try it.
If low mood or hopelessness persists, ask a professional about problem solving therapy or another treatment rather than working through it alone.
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68Mobility
Prepare a summary of knee symptoms, activities you manage and flare-ups; ask which strengthening and general fitness exercises suit you and how to progress.
Get clinical advice for a newly swollen, hot or severely painful joint or if a programme makes symptoms persistently worse.
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69Relationships
If safe and both willing, discuss one issue: take turns speaking, reflect back what you heard and agree one small change; pause if heated.
If there is fear, coercion or abuse, seek confidential specialist support. Joint counselling can be unsafe in that situation.
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70Targeted nutrients
List your iodine food sources and any prenatal supplements. If pregnant, vegan or living with thyroid disease, prepare questions for your clinician.
Thyroid disease or a prescribed low iodine diet needs individual guidance. Avoid high dose iodine or kelp supplements unless advised.
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71Dietary fats
Check three foods you buy often for partially hydrogenated oil and note replacements; labels and availability vary by country.
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72Tobacco
If you already vape and want to stop, request cessation support; explain whether vaping is helping you avoid cigarettes and mention pregnancy if relevant.
If pregnant or struggling with nicotine dependence, ask a maternity or cessation professional for help.
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73Home safety
Check alarm locations from floor level, consult available age or installation records and list missing, expired or hard-to-reach alarms for help.
Possible carbon monoxide exposure requires fresh air and urgent help. An alarm does not replace proper installation and maintenance of fuel burning appliances.
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74Stress
Gather income details, essential bills and debt letters into one place; note any approaching deadlines for the adviser.
Seek mental health care if worry or low mood persists or impairs daily life. Urgent distress or thoughts of suicide need immediate crisis support.
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75Sleep
Set up existing curtains or an eye mask for tonight, move bright devices out of direct view and check that any necessary night light still lets you move safely.
If you need a light on for safety at night, keep it and choose the dimmest option that works for you.
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76Stress
Follow a short beginner's meditation from a health service, gently bringing your attention back when it wanders; stop if you feel worse.
Mindfulness can sometimes increase anxiety or distress. Stop if that happens, discuss it with a clinician, and keep any existing treatment in place.
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77Movement
If walking is already suitable for you, allow five minutes to get ready and ten for an easy after-meal walk; if medicines can cause low blood sugar, follow your team's activity advice.
If you take medicines that can cause low blood sugar, ask your diabetes team how to adjust activity safely.
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78Movement
Review your current activity and any symptoms or restrictions; choose a moderate activity you can build first and list questions about adding harder efforts safely.
CDC advises checking with a doctor before starting vigorous activity if you have been inactive, have a disability or have overweight.
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79Drinks
Review yesterday's drinks, including milk, tea and coffee. Look for long gaps and choose meal or break times for regular drinks, within any fluid plan.
Follow an individualized fluid plan if you have been given a fluid restriction for heart or kidney disease.
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80Caregiving
List the care tasks a substitute would need to cover, who might help and what should happen if they cannot attend.
If caring is affecting your own mental or physical health, see your own clinician as well as the team supporting the person you care for.
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81Strength
Read the NHS explanation of assessed pelvic floor training and prepare questions about technique, full relaxation and how your progress will be reviewed.
Get pelvic health advice for pain, difficulty emptying your bladder or uncertainty about technique.
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82Home safety
Compare the recommended testing options and request a suitable kit or tester; check the measurement period and how results will be returned.
Action levels vary by country and do not mark a completely safe threshold. Use a qualified radon professional to interpret high results and plan mitigation.
-
83Wellbeing
Take a gentle visit to a nearby green space, allowing for travel; pause to notice your surroundings rather than aiming for distance.
Nature time supports wellbeing but does not replace care for persistent depression or anxiety.
-
84Substances
Identify a regular recreational use occasion and plan an alternative activity; ask for support if reducing is difficult and do not drive while impaired.
Discuss prescribed cannabis with its prescriber before changing treatment; seek professional help for dependence or withdrawal.
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85Targeted nutrients
List your usual B12 foods, any supplements and medicines for a pharmacist review, especially if vegan, over 50 or concerned about absorption.
The dietary requirement is not a treatment dose. Numbness, balance problems, anemia or malabsorption need clinical assessment.
-
86Movement
Review a few days of movement and choose one specific goal based on your starting point, such as a short walk on three days if suitable for you.
-
87Sleep
Spend a daylight break outdoors, seated or moving comfortably, if it fits your sleep schedule and conditions are suitable; ordinary outdoor time is the aim.
If you work nights or have a diagnosed circadian rhythm disorder, seek advice on timing light around your sleep.
-
88Culture
Check the chosen event's date, cost and access arrangements; invite someone or put a feasible visit in your calendar.
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89Mental health
Prepare notes on past depression, current worries, medicines and support; ask whether preventive counselling or symptom assessment fits your situation.
Discuss symptoms and any medication changes with your care team. Hallucinations, severe confusion or thoughts of harming yourself or your baby need immediate emergency help.
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90Sleep
When bedtime is approaching, start quiet reading with electronic screens put away; keep the lighting comfortable for reading and moving safely.
-
91Brain health
Practise one manageable part of the skill, then note what you want to try next.
New memory difficulties that affect everyday tasks deserve clinical assessment, not just more learning activities.
-
92Digital habits
Review which feeds support you and which leave you worse off, then adjust notifications or mute the latter.
Do not cut off online support that matters to you. Persistent distress or compulsive use may need professional help.
-
93Movement
Read the NHS pregnancy exercise tips and list suitable options to discuss, including how to avoid overheating, exhaustion and activities with a risk of falling.
Your maternity clinician should guide activity when there are pregnancy complications or new concerning symptoms.
-
94Sleep
Plan sleep opportunities around your next few shifts, including a nap if helpful, and prepare your room for the times you will actually sleep.
Seek clinical help if you cannot sleep adequately or remain excessively sleepy despite protecting time for sleep.
-
95Connection
Send an enquiry stating your interests, availability and access needs; ask what help is useful and whether you can start small.
-
96Wellbeing
Give ten minutes to that action, such as listening to someone you care about, then consider whether it fits what matters to you.
-
97Targeted nutrients
Gather labels for all your supplements and list health conditions for a pharmacist review; ask about duplicate vitamin D and suitability before changing products.
A diagnosed deficiency, kidney disease or high calcium requires individual advice. Treatment doses may differ from prevention doses.
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98Connection
Contact the organiser to ask about joining or staying involved, meeting times and access needs.
-
99Mobility
Do the NHS flexibility moves, then the NHS sitting exercises, resting between moves; stop if anything hurts or you feel dizzy.
Ask a physiotherapist about persistent joint pain, recent injury or unusually loose joints.
-
100Movement
After a straightforward birth, take a gentle walk with the pram when you feel up to it, back straight and elbows bent.
Get individual advice for pain, worsening bleeding, pelvic symptoms or complications; the weekly goal is not an immediate target after delivery.
Nothing fits this length yet.
30 minutes
Ordered by impact for everyone. Add a few facts and this reorders for you. 45 things fit 30 minutes
-
1Tobacco
Draft a quit plan: choose a date, prepare responses to your triggers and list questions about medicines for a pharmacist or quit adviser.
If pregnant, discuss the safest cessation options with your maternity team before using medication.
-
2Movement
Take a brisk walk of up to 30 minutes at a pace where you can talk but not sing; shorten it or split it if you need to.
If a health condition limits activity, ask a clinician which type and amount suits you.
-
4Alcohol
Plan support for your drinking goal: identify difficult occasions, prepare alternatives and request clinical help if dependence is possible.
If you have withdrawal symptoms or may be dependent, get clinical help before suddenly stopping alcohol.
From Drink less alcohol
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5Dietary pattern
Plan three repeatable meals using beans, vegetables and whole grains. List only the ingredients you need, choosing suitable foods for any allergies or prescribed diet.
-
6Strength
Do the full NHS strength routine slowly with rests between moves, then put your second session of the week in your calendar.
Ask a physiotherapist for adaptations if pain, injury or a health condition limits your movement.
-
8Salt
Prepare a familiar meal with herbs, garlic or lemon in place of some salty sauce; taste before adding salt.
Potassium based salt substitutes need clinical advice if you have kidney disease or take medicines that raise potassium.
-
9Sleep
Use half an hour before your intended bedtime for quiet reading or another restful activity, with screens put away; go to bed when sleepy.
Talk to a clinician about persistent daytime sleepiness or difficulty sleeping despite enough opportunity.
-
12Plant foods
Plan vegetables for three dinners and fruit for snacks; choose frozen or canned options where they save time or waste.
-
13Plant foods
Prepare a lentil and vegetable sauce for wholegrain pasta if those foods fit your diet; use cooked canned lentils for a quicker start.
If you have a bowel narrowing or have been prescribed a low fiber diet, ask your clinician before increasing fiber.
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16Plant foods
Start a brown rice meal: prepare vegetables while the rice cooks, following its packet timing even if it needs longer than 30 minutes.
With coeliac disease, choose gluten free whole grains such as brown rice and certified gluten free oats.
-
18Dietary fats
Make that adapted meal, using the oil in place of the usual solid fat and keeping portions comfortable.
-
20Movement
Take an after-dinner stroll with family or a friend, turning back earlier if you get tired.
Adapt walking to your mobility and symptoms; step counts do not capture all useful forms of activity.
-
21Connection
Spend half an hour together over a drink or shared activity, in person or by a call if getting out is difficult.
-
23Plant foods
Make a tomato and lentil sauce using cooked canned lentils; replace some or all of the usual mince.
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24Protein foods
Plan three lunches without your usual processed meat and list the ingredients; check suitable protein options if you have dietary restrictions.
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25Environment
Make a smoke plan: choose your room, check cleaner instructions and arrange a cooler backup location.
Ask for a smoke action plan if you have heart or lung disease. Do not keep a home dangerously hot to exclude smoke; move to a cooled space with cleaner air when needed.
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28Food safety
Review one meal's preparation: plan clean utensils, safe cooking and storage. Refrigerate perishables within 2 hours, or 1 hour above 32 C.
If you are pregnant, 65 or older, or have weakened immunity, extra food precautions apply: avoid unpasteurized milk and cheese, and heat brie, camembert, blue cheese, queso fresco and deli meats until steaming hot. Many pasteurized soft cheeses, like mozzarella or cottage cheese, are fine. Ask your clinician or maternity team.
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34Protein foods
Start a suitable baked fish dinner: prepare the sides while it cooks and follow the full cooking time.
Avoid fish you are allergic to. If you are pregnant, trying for a baby, or 16 or under, avoid shark, swordfish and marlin; limit tuna if pregnant or trying. Girls and women who have not been through the menopause should have no more than 2 portions of oily fish a week.
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36Food choices
Prepare that fallback meal using ready cooked beans and vegetables; follow the grain's cooking instructions and refrigerate leftovers promptly.
-
40Balance
Find a local supervised balance or falls prevention class and check how to join; note any falls or dizziness to mention.
If you have fallen, feel unsteady or have dizziness, ask for a tailored exercise plan before practising unsupported.
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41Protein foods
Make a lentil sauce with cooked canned lentils for a usual mince meal; if pregnant or iron deficient, arrange advice on iron and B12 needs.
If reducing meat during pregnancy or with iron deficiency, ask how to meet iron and B12 needs.
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44Movement
Walk a short trip you would normally drive, such as to the shops, at a comfortable pace.
Choose routes and activity levels suited to local conditions and your abilities.
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46Sugar
Review a typical day's drinks, breakfast, snacks and desserts; choose two free sugar sources to reduce without cutting out whole fruit or plain milk.
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49Work life
Prepare a workload discussion: list essential tasks, deadlines, actual hours and what could be postponed or shared.
If work pressure is affecting your health, discuss support and possible adjustments with a clinician or occupational health service.
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50Targeted nutrients
If extra potassium is suitable, plan three meals using beans, potatoes or vegetables; otherwise, prepare a food record for your renal dietitian.
Kidney disease, or medicines that raise potassium such as ACE inhibitors, ARBs and potassium sparing diuretics, make extra potassium unsafe without clinical advice.
-
51Medicine safety
Review your medicine list and storage with a trusted person; prepare questions for a pharmacist about labels, side effects and monitoring.
Do not stop prescribed medicines without discussing it. Suspected poisoning or a serious reaction needs prompt help from local emergency or poison services.
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53Home safety
With a helper, check rooms and stairs, clear simple hazards and arrange larger repairs; avoid climbing or heavy lifting.
Repeated falls, fainting or new unsteadiness need assessment. The study result came from targeted programmes, not simply receiving a checklist.
-
60Environment
Write a heat plan: cool destination, transport, check-in contacts and who needs help; include questions about fluid limits.
Ask about safe fluid intake if you have a fluid restriction. Confusion, collapse or suspected heatstroke needs emergency help and immediate cooling; do not stop medicines on your own.
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64Targeted nutrients
Plan suitable calcium foods across tomorrow's meals. If intake looks low or you have kidney disease, prepare questions for a dietitian before adding supplements.
Discuss supplements if food intake is inadequate, especially with kidney disease, kidney stones or medicines that interact with calcium.
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65Addictive behaviours
With a support service, start arranging self-exclusion and device blocks, and identify a free debt-advice contact.
Gambling related distress can turn urgent. Seek immediate crisis support if you feel unsafe or have thoughts of suicide.
-
67Stress
Work through one problem on paper, make a practical first step such as an enquiry, and set a time to review the result.
If low mood or hopelessness persists, ask a professional about problem solving therapy or another treatment rather than working through it alone.
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73Home safety
Review alarm coverage and escape arrangements with your household; assign safe testing, replacements and any help needed for someone who cannot hear an ordinary alarm.
Possible carbon monoxide exposure requires fresh air and urgent help. An alarm does not replace proper installation and maintenance of fuel burning appliances.
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74Stress
Begin an advice call or prepare a simple income-and-bills list; ask about urgent essentials and what to do next.
Seek mental health care if worry or low mood persists or impairs daily life. Urgent distress or thoughts of suicide need immediate crisis support.
-
80Caregiving
Prepare a handover with a willing helper or service: discuss care needs, contacts and a backup before confirming a break.
If caring is affecting your own mental or physical health, see your own clinician as well as the team supporting the person you care for.
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83Wellbeing
Allow half an hour for a comfortable park or garden visit, including travel and seated pauses; adapt it to your energy and the weather.
Nature time supports wellbeing but does not replace care for persistent depression or anxiety.
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86Movement
Review a week's activity and commitments, choose realistic slots for next week, and plan how you will record movement and review the goal.
-
88Culture
If an exhibition is nearby or you are already there, spend half an hour exploring a few works at your own pace.
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90Sleep
Spend the final half hour before your intended bedtime on a quiet activity without electronic screens, using comfortable, gentle lighting.
-
91Brain health
Work through a short lesson or community learning activity, allowing time to try the skill yourself.
New memory difficulties that affect everyday tasks deserve clinical assessment, not just more learning activities.
-
92Digital habits
Spend half an hour on a valued activity or conversation you have been missing, with social alerts off and important contacts still reachable.
Do not cut off online support that matters to you. Persistent distress or compulsive use may need professional help.
-
93Movement
If your pregnancy has no complications, walk for up to 30 minutes at a pace where you can still talk; slow down if breathless.
Your maternity clinician should guide activity when there are pregnancy complications or new concerning symptoms.
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94Sleep
Review a full roster for gaps in recovery time, write down the changes that would help and prepare a discussion with your employer or occupational health service.
Seek clinical help if you cannot sleep adequately or remain excessively sleepy despite protecting time for sleep.
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95Connection
Compare one or two roles for duties, training, travel and time commitment, then prepare questions for the organiser.
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96Wellbeing
Make room for a meaningful activity, relationship or creative task; choose something possible with your current energy and circumstances.
-
98Connection
If a suitable meeting is happening nearby or online, join for a manageable first visit; otherwise arrange the visit and any travel you need.
Nothing fits this length yet.
A plan
Ordered by impact for everyone. Add a few facts and this reorders for you. 100 things fit a plan
-
1Tobacco
Prepare, quit, review
- Stage 1: Arrange support and discuss suitable treatments before your quit date.
- Stage 2: On your quit date, remove cigarettes and ashtrays and use your agreed craving strategies.
- Stage 3: Review each week, keeping what helped and asking for more support after any lapse.
If pregnant, discuss the safest cessation options with your maternity team before using medication.
-
2Movement
Build an activity week you can repeat
- Stage 1: Choose an activity you enjoy and can do comfortably; get advice on adaptations if needed.
- Stage 2: Repeat a short, manageable session on days that fit your routine.
- Stage 3: Add time gradually; at moderate effort you can talk but would struggle to sing.
- Stage 4: Work toward 150 minutes of moderate activity a week, in chunks that suit you, without treating the target as a pass or fail test.
If a health condition limits activity, ask a clinician which type and amount suits you.
-
3Heart health
From a reading to follow-up
- Arrange a check and ask what to bring.
- At the check, request your result and ask whether it needs confirmation.
- If more monitoring is recommended, ask for a demonstration and written instructions.
- Agree on follow-up with your clinician and keep the date with your readings.
A clinician should confirm persistent high readings and set treatment targets. Pregnancy needs its own blood pressure care plan.
-
4Alcohol
Start with an honest baseline
- Stage 1: Record drinking for a week; seek advice promptly if dependence or withdrawal is possible.
- Stage 2: If you are not dependent, try one smaller serving or alcohol free replacement and plan days without alcohol.
- Stage 3: Review what worked after a week and repeat; use professional support if reducing is difficult.
If you have withdrawal symptoms or may be dependent, get clinical help before suddenly stopping alcohol.
From Drink less alcohol
-
5Dietary pattern
Build a pattern one meal at a time
- Week 1: Repeat one vegetable and bean meal you enjoy.
- Week 2: Switch one regular grain to a whole grain and use unsaturated oil in place of butter.
- Week 3: Add variety with suitable nuts and fish, then keep the meals you can afford and repeat.
-
6Strength
Start strength work with control
- Stage 1: Choose suitable exercises and stable supports; ask a physiotherapist about pain, injury or movement limitations.
- Stage 2: Learn the technique with a manageable amount of effort and rest when you need to.
- Stage 3: Establish two sessions each week covering the major muscle groups.
- Stage 4: Increase repetitions or resistance gradually when you can keep good control.
Ask a physiotherapist for adaptations if pain, injury or a health condition limits your movement.
-
7Mental health
From first contact to follow-up
- Request help now if symptoms disrupt your life; you do not need to diagnose yourself first.
- At the appointment, share your notes and ask which treatment fits your symptoms and preferences.
- Agree a review date and whom to contact if you worsen; discuss any medication changes with the prescriber.
Ask for help sooner if symptoms are severe. If you might act on thoughts of suicide or cannot keep yourself safe, contact local emergency or crisis services now.
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8Salt
Reduce salt without losing flavor
- Week 1: Replace one frequently used sauce or stock with a lower salt version.
- Week 2: Taste meals before salting and try a herb or spice you like.
- Week 3: Check another staple, then keep the changes that work.
Potassium based salt substitutes need clinical advice if you have kidney disease or take medicines that raise potassium.
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9Sleep
Protect your sleep opportunity
- Stage 1: Check the CDC sleep range for your age and plan enough time for sleep around necessary commitments.
- Stage 2: Move one recurring late activity earlier and keep a short sleep diary.
- Stage 3: Review how rested you feel; seek help for persistent sleepiness or difficulty sleeping despite enough opportunity.
Talk to a clinician about persistent daytime sleepiness or difficulty sleeping despite enough opportunity.
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10Road safety
A safer routine for every journey
- Before leaving, choose an unimpaired driver and set the route.
- Before moving, check everyone is buckled and children have suitable restraints.
- During the trip, keep your attention on driving; leave calls and messages until you stop or arrive, or let a passenger handle them.
Ask a pharmacist whether a medicine impairs driving, and avoid driving while affected.
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11Heart health
Make the result useful
- Ask whether testing is appropriate and get preparation instructions.
- Have the agreed test and find out how you will receive the result.
- Review overall risk and ask about the absolute benefit and possible harms of any proposed treatment.
- Agree when to review the plan and repeat testing.
A cholesterol test does not automatically mean you need medicine. Pregnancy, very high cholesterol and established heart disease need individualized care.
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12Plant foods
Add variety gradually
- Week 1: Add one portion each day where you usually miss fruit or vegetables.
- Week 2: Add a different color or type to another meal.
- Week 3: Review your usual day and work toward five varied portions, using foods you enjoy.
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13Plant foods
Build fiber comfortably
- Stage 1: If you have a bowel narrowing or prescribed low fiber diet, check with your clinician before changing intake.
- Stage 2: Add one higher fiber food to your usual meals and increase gradually as tolerated.
- Stage 3: Use labels to review a typical day's intake against the adult 30 g target, without overriding your clinical plan.
If you have a bowel narrowing or have been prescribed a low fiber diet, ask your clinician before increasing fiber.
-
14Drinks
Change one drink habit
- Week 1: Replace one routine sugary drink with water; keep any prescribed fluid allowance.
- Week 2: Check sweetened coffees, teas and energy drinks for another easy swap.
- Week 3: Review which replacements you liked and make those your usual choices.
-
15Cancer screening
Complete the screening pathway
- Confirm your eligibility and discuss family history or previous polyps with your clinician.
- Choose an offered test you can complete and follow its own preparation instructions.
- Return your sample promptly or attend your booked procedure.
- Read the result, complete any recommended follow-up and record your next due date.
Family history, prior polyps or bowel inflammation can mean earlier testing. Bleeding or persistent bowel changes need assessment rather than waiting for screening; ages 76 to 85 require an individual decision.
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16Plant foods
Make one grain swap stick
- Week 1: Try one suitable wholegrain breakfast or bread.
- Week 2: Try wholegrain pasta or brown rice in a familiar dinner, mixing textures if helpful.
- Week 3: Keep your preferred swaps and check ingredient lists when buying replacements.
With coeliac disease, choose gluten free whole grains such as brown rice and certified gluten free oats.
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17Movement
Put movement between everyday tasks
- Stage 1: Notice when you sit without moving for long spells.
- Stage 2: Choose a comfortable movement and attach it to an existing cue, such as finishing a task.
- Stage 3: Review which cues worked and add another; choose seated options if standing is difficult.
-
18Dietary fats
Replace one regular source
- Week 1: Change the fat you use for one frequent cooking task.
- Week 2: Compare a spread or prepared food and choose less saturated fat.
- Week 3: Keep the swaps you enjoy and review another meal.
-
19Emergencies
Prepare to act without delay
- Learn the stroke and heart attack signs and your local emergency number.
- Tell someone close to you that suspected symptoms mean an immediate ambulance call.
- If symptoms occur, call at once, note the onset time if known and follow the operator; do not drive yourself.
This item is about acting fast, not treating anything yourself. Follow the emergency operator's instructions, and do not assume aspirin advice from another country applies to you.
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20Movement
More steps from your own starting point
- Stage 1: Notice your usual walking, using a familiar route or an existing step counter.
- Stage 2: Add one short walk to an everyday routine.
- Stage 3: Extend it gradually when comfortable; keep shorter walks on harder days.
- Stage 4: Keep a sustainable routine without requiring a particular step total.
Adapt walking to your mobility and symptoms; step counts do not capture all useful forms of activity.
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21Connection
Make contact easier to repeat
- This week, arrange one conversation with someone you trust, or contact a local group if you need new connections.
- Afterwards, agree the next time to meet or talk.
- After a few contacts, keep what feels supportive; ask for community or professional help if loneliness persists.
-
22Healthy weight
Start with a health goal
- Stage 1: Identify what you want to improve in daily life and ask whether weight change is appropriate for you.
- Stage 2: Choose one or two realistic habits with support if needed, such as regular movement or enough sleep.
- Stage 3: Review what is manageable and how you feel and function; adjust the approach rather than pursuing rapid loss.
Do not pursue intentional weight loss during pregnancy without specialist direction; seek tailored advice with frailty, an eating disorder history or unexplained weight change.
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23Plant foods
Get comfortable with pulses
- Week 1: Try a few spoonfuls of cooked beans or lentils in a familiar meal.
- Week 2: Repeat that meal and increase the pulse portion if comfortable.
- Week 3: Try a second pulse in a soup, salad or curry and keep convenient cans available.
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24Protein foods
Replace the meals you repeat
- Week 1: Change one regular processed meat lunch.
- Week 2: Change a breakfast or dinner that usually includes bacon or sausages.
- Week 3: Keep two easy alternatives available so the swap stays convenient.
-
25Environment
Prepare for a smoke day
- Before smoke arrives, choose a room and a backup cooled location with cleaner air.
- If using an air cleaner, check room size, ozone information and the filter instructions.
- During smoke, follow alerts, reduce indoor smoke sources and run the cleaner continuously as instructed.
- Air out the room when outdoor air improves and follow evacuation instructions when issued.
Ask for a smoke action plan if you have heart or lung disease. Do not keep a home dangerously hot to exclude smoke; move to a cooled space with cleaner air when needed.
-
26Cancer screening
Make screening easier to attend
- Confirm your due date and any special follow-up with the service.
- Book and request the support or access arrangements you need.
- At the appointment, ask questions and remember you can stop at any time.
- Read your result and arrange any recommended follow-up.
Eligibility depends on having a cervix and your previous results. A removed cervix, past precancer, immune suppression, pregnancy or symptoms can change the plan; tell the screening service.
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27Oral health
Build a complete daily clean
- Establish brushing before bed and at one other time each day.
- Add daily cleaning between teeth with floss or brushes that fit comfortably.
- Ask your dentist or hygienist to check your technique and agree your next dental review.
Persistent bleeding, toothache, swelling or a mouth change needs dental assessment. Ask for cleaning advice around implants, braces or gum disease.
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28Food safety
Make food safety routine
- Stage 1: Wash hands with soap for at least 20 seconds before cooking; keep raw food separate.
- Stage 2: During cooking, use a thermometer; poultry and leftovers need 74 C.
- Stage 3: After the meal, refrigerate promptly in shallow containers and thaw future meals in the fridge.
If you are pregnant, 65 or older, or have weakened immunity, extra food precautions apply: avoid unpasteurized milk and cheese, and heat brie, camembert, blue cheese, queso fresco and deli meats until steaming hot. Many pasteurized soft cheeses, like mozzarella or cottage cheese, are fine. Ask your clinician or maternity team.
-
29Plant foods
Use nuts as a simple swap
- Stage 1: Check allergies and choose a plain unsalted option you tolerate.
- Stage 2: Replace one usual snack with a small handful rather than adding an extra snack.
- Stage 3: Repeat when convenient or use chopped nuts with a meal.
Avoid nuts that trigger an allergy; choose other suitable foods with a clinician or dietitian if needed.
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30Vaccination
Review this season's protection
- Check the current local offer and your vaccination record.
- Discuss eligibility, recent infection and any previous serious reaction with the vaccinator.
- Book if recommended, then record the vaccination and any further date they advise.
A vaccinator should check immune status, prior myocarditis and product eligibility. Some uses in current CDC guidance are outside FDA labeling, so individual advice matters.
-
31Vaccination
Get ready for flu season
- Check when the current local campaign opens and whether you are eligible.
- Ask which product fits your circumstances and book with a vaccination service.
- Attend when advised and keep a record for your next seasonal review.
The nasal spray is unsuitable during pregnancy and for some medical conditions. A vaccinator can advise on product choice and timing.
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32Sleep
Turn sleep symptoms into an assessment
- Stage 1: Gather your symptoms and any observations someone has already shared; you do not need a device diagnosis.
- Stage 2: Contact a clinician about breathing pauses, gasping or persistent sleepiness.
- Stage 3: Ask what a sleep assessment involves and follow the testing arrangements offered.
- Stage 4: Arrange follow-up for results; avoid driving while sleepy.
A clinician may recommend a sleep study; this item concerns symptoms, not routine screening of people without symptoms. Do not drive if you feel very sleepy.
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33Vaccination
Check and complete your local schedule
- Find your dose record or ask a service to help reconstruct it.
- Have a vaccinator check local eligibility and whether more doses are needed.
- Book the recommended appointments and record each dose.
- Continue cervical screening if you are eligible, even after vaccination.
Postpone HPV vaccination during pregnancy. Vaccination does not replace cervical screening; adults over 26 generally have less benefit.
-
34Protein foods
Make a weekly fish routine
- Stage 1: Check allergies and pregnancy guidance, including limits on tuna and oily fish.
- Stage 2: Schedule one oily fish meal and one white fish meal, using canned or frozen fish if easier.
- Stage 3: Repeat weekly with varieties you enjoy and can afford.
Avoid fish you are allergic to. If you are pregnant, trying for a baby, or 16 or under, avoid shark, swordfish and marlin; limit tuna if pregnant or trying. Girls and women who have not been through the menopause should have no more than 2 portions of oily fish a week.
-
35Sexual health
Testing with follow-through
- Discuss condoms and testing with your partner before sex.
- Ask a service which tests and timing fit your exposures; seek prompt advice for a possible recent HIV exposure.
- Complete the agreed testing and make sure you receive the results.
- If positive, arrange care and follow advice about partners, treatment and when sex can resume.
Condoms do not eliminate every STI risk. Symptoms, pregnancy or a recent possible HIV exposure need prompt clinical advice; testing timing matters.
-
36Food choices
Improve one convenience choice
- Week 1: Change one frequent snack high in salt or sugar.
- Week 2: Add a convenient meal using vegetables, pulses and a staple grain.
- Week 3: Keep helpful packaged foods and compare nutrition labels when replacing others.
-
37Cancer screening
From invitation to result
- Check the local schedule and discuss any higher risk history with your clinician.
- Book or confirm an appointment that you can attend.
- Attend and ask when and how you will receive results.
- Complete any requested imaging or biopsy and record the next due date.
A new lump, nipple change or other symptom needs prompt assessment even after a normal mammogram. Higher risk and age 75 or older require an individualized plan. Trans and non-binary people may also be eligible depending on anatomy and hormone treatment; ask your GP or screening service.
-
38Sleep
Find structured help for insomnia
- Stage 1: Describe your sleep problem and its daytime effects to a clinician.
- Stage 2: Ask about CBT-I and a format you can access, such as in person, telephone or supported online care.
- Stage 3: Follow the agreed programme, with professional guidance for changes to time in bed.
- Stage 4: Review progress and remaining symptoms with your provider.
Use professional guidance for sleep restriction components; do not sharply reduce time in bed on your own.
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39Vaccination
Close gaps in routine protection
- Collect the records you can find, including vaccines received abroad.
- Ask a clinician or pharmacist to review tetanus, diphtheria, whooping cough, MMR and hepatitis B under your local schedule.
- Book any recommended catch-up appointments and keep the updated record together.
MMR is not given during pregnancy and can be unsuitable with immune suppression. Wounds may require earlier tetanus protection; missing primary doses need a catch-up series.
-
40Balance
Build steadiness with suitable support
- Stage 1: Get tailored advice if you have fallen, feel unsteady or have dizziness.
- Stage 2: Choose appropriate exercises and a safe support with your clinician or class leader.
- Stage 3: Build a repeatable routine combining balance and strength, working toward three days weekly as appropriate.
- Stage 4: Review control and confidence before making exercises harder.
If you have fallen, feel unsteady or have dizziness, ask for a tailored exercise plan before practising unsupported.
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41Protein foods
Reduce high intake gradually
- Stage 1: Estimate a week's combined cooked red and processed meat intake.
- Stage 2: If above 90 g daily on average, use smaller portions and pulse meals to move toward the NHS 70 g average.
- Stage 3: Keep the changes and review nutrient needs if meat was your main iron or B12 source.
If reducing meat during pregnancy or with iron deficiency, ask how to meet iron and B12 needs.
-
42Screening
Turn a test into a care plan
- Ask whether testing is appropriate, including any symptoms or pregnancy.
- Book the agreed test and get preparation instructions from the service.
- Discuss the result and whether confirmation is needed.
- If prediabetes is found, ask about a prevention programme; otherwise agree when to review testing.
Symptoms, pregnancy and higher inherited risk need a separate testing plan. HbA1c can be misleading with some blood conditions.
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43Sleep
Make sleep timing more predictable
- Stage 1: Notice your current bedtime and waking pattern.
- Stage 2: Choose a realistic sleep window with enough time for your sleep needs.
- Stage 3: Keep day-off timing close to workday timing when possible; adjust gradually after disruptions.
- Stage 4: Get help if work or persistent sleep problems prevent adequate sleep.
A rigid schedule should not mean accepting chronic sleep deprivation; get help if work or a sleep disorder makes adequate sleep difficult.
-
44Movement
Make one regular journey active
- Stage 1: Choose a short familiar trip and check whether walking or cycling is suitable.
- Stage 2: Try a manageable section at a comfortable pace.
- Stage 3: Repeat it on days that fit, with the equipment you need ready to go.
- Stage 4: Extend the active section only when it feels sustainable.
Choose routes and activity levels suited to local conditions and your abilities.
-
45Screening
Find out and follow through
- Ask about both tests and tell the service about recent or ongoing exposures.
- Complete the recommended testing and confirm how results will reach you.
- Arrange confirmation and care for any positive result.
- Ask whether your circumstances call for repeat testing.
A positive result needs clinical confirmation and care, and testing is confidential. Treatment for both infections is now very effective, so a result is a starting point rather than a verdict.
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46Sugar
Reduce sweetness at your pace
- Week 1: Reduce added sugar in one regular drink or breakfast.
- Week 2: Try a plain cereal or yogurt with whole fruit.
- Week 3: Keep sugary foods and dried fruit to meals and review the changes you want to maintain.
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47Brain health
Get hearing support that fits your life
- Arrange an assessment and describe when the change started.
- Discuss the cause, communication goals and suitable options with the professional.
- If you receive a device, agree how to use it and when to return for comfort or clarity adjustments.
Sudden hearing loss, hearing that gets worse over a few days or weeks, or hearing loss with earache or discharge needs an urgent appointment. Treat hearing aids as treatment for hearing loss, with realistic expectations about any effect on thinking.
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48Infection prevention
Make the useful washes easy
- Make soap and a clean way to dry hands available where you wash.
- Link washing to meals, toilet use, nappies and caring for someone with vomiting or diarrhea.
- When soap and water are unavailable, use sanitizer with at least 60% alcohol; choose soap and water for visible dirt.
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49Work life
Two weeks of facts, then a workload agreement
- For two weeks, record your actual hours without trying to prove you can fit more in.
- Take the pattern to your manager, worker representative or occupational health team and discuss priorities or staffing.
- Agree achievable hours and availability where possible, then review whether the change is working.
If work pressure is affecting your health, discuss support and possible adjustments with a clinician or occupational health service.
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50Targeted nutrients
Check safety, then use food
- Stage 1: Check restrictions and medicines with your clinical team if kidney disease or potassium concerns apply.
- Stage 2: If suitable, add one food source to a familiar meal without supplements or salt substitutes.
- Stage 3: Build variety across meals, staying within any individualized dietary advice.
Kidney disease, or medicines that raise potassium such as ACE inhibitors, ARBs and potassium sparing diuretics, make extra potassium unsafe without clinical advice.
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51Medicine safety
Make medicine use easier to check
- List everything you take, including medicines bought without a prescription.
- Ask a pharmacist to check the list, instructions and any concerns; do not stop prescribed treatment yourself.
- Review storage so children cannot see or reach medicines, including those in visitors' bags.
- Keep the list updated when treatment changes and attend recommended monitoring.
Do not stop prescribed medicines without discussing it. Suspected poisoning or a serious reaction needs prompt help from local emergency or poison services.
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52Mobility
Build a plan for persistent back pain
- Stage 1: Check warning signs and arrange appropriate assessment rather than assuming all back pain has the same cause.
- Stage 2: Agree on suitable exercises with a clinician or physiotherapist.
- Stage 3: Keep comfortable daily activity and practise the agreed plan, building gradually.
- Stage 4: Stop exercises that worsen pain and ask for review; seek urgent help for new warning signs.
Call emergency services or go to A&E for back pain with new bladder or bowel changes, numbness around the genitals or anus, or weakness or numbness in both legs.
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53Home safety
Make your home safer in stages
- Start with clear walking routes and good lighting.
- Arrange help to secure rugs and cables and install appropriate rails or grab bars.
- If you have fallen or need daily support, ask about a professional home safety assessment.
- Review the completed changes and tell your clinician about any further falls or dizziness.
Repeated falls, fainting or new unsteadiness need assessment. The study result came from targeted programmes, not simply receiving a checklist.
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54Screening
Assess risk before choosing treatment
- Gather the history and medicines that may affect your bones.
- Ask a clinician whether you need a fracture risk assessment or DXA scan.
- If a scan is recommended, book it and discuss the result alongside your other risk factors.
- Agree on any treatment and follow-up with the clinician.
Prior fragility fractures, steroid use and other bone diseases require clinical assessment rather than routine screening rules. Evidence is insufficient for universal screening in men; individual risk still matters.
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55Environment
Prepare for time outside
- Check the forecast UV index and choose shaded places or lower UV times.
- Prepare covering clothes, a hat, sunglasses and suitable sunscreen.
- Apply sunscreen to uncovered skin as labelled, reapply regularly and keep using shade.
Ask a clinician about extra protection if a medicine increases sun sensitivity or you have had skin cancer. Sunscreen does not make unlimited exposure safe.
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56Vaccination
Review three vaccines together
- Collect your previous vaccine record.
- Have a vaccinator check each vaccine against local age, health and previous-dose criteria.
- Book any recommended vaccinations and further appointments.
- Keep the updated record so future reviews avoid unnecessary repeat doses.
A clinician should check previous doses, immune suppression and other risk factors. For the shingles vaccine only, wait if you are pregnant or currently have shingles. RSV vaccination in pregnancy is a separate pathway at 32 to 36 weeks to protect the baby, so ask your maternity team. These vaccines do not prevent every cause of pneumonia.
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57Cancer screening
Make an informed screening decision
- Prepare your smoking history and ask about local eligibility.
- Discuss benefits, harms and whether you could undergo treatment if needed.
- If you choose screening with your clinician, use a programme that arranges follow-up.
- Complete any follow-up and ask when screening should be repeated or stopped.
Age and smoking status alone do not establish eligibility. A clinician must check pack years, time since quitting and fitness for treatment; national criteria differ.
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58Stress
Build a calming skill
- Try a short, gentle breathing practice in a calm moment; stop if it makes you feel worse.
- If comfortable, practise for about five minutes at a regular time.
- Pair the practice with practical support for the cause of stress; seek help if stress keeps disrupting daily life.
If an exercise increases distress, stop and try another approach. Seek professional support when stress keeps disrupting daily life.
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59Targeted nutrients
Arrange timely pregnancy advice
- Stage 1: If planning pregnancy or newly pregnant, contact a pharmacist or maternity team promptly about folic acid.
- Stage 2: Review your history, medicines and existing products so they can advise what is suitable.
- Stage 3: Keep the agreed instructions and ask when they need reviewing.
Previous neural tube defects, certain medicines or other risk factors may require a different dose prescribed by a clinician.
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60Environment
Prepare before the next heat alert
- Identify a cool room and a backup cooled location with a way to reach it.
- Arrange check-ins and shift outdoor tasks to cooler hours.
- Ask your clinician about a heat plan if medicines, chronic illness or fluid limits affect you.
- During heat, use cooling such as a damp cloth and follow local advice; confusion or collapse needs immediate emergency help.
Ask about safe fluid intake if you have a fluid restriction. Confusion, collapse or suspected heatstroke needs emergency help and immediate cooling; do not stop medicines on your own.
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61Vision
Keep eye care connected
- Confirm the sight-test interval recommended for you and book if due.
- Tell the clinician about symptoms, diabetes and family glaucoma history.
- Discuss the result and options rather than accepting treatment automatically.
- If you have diabetic eye screening with dilating drops, arrange transport because you must not drive afterwards.
Sudden vision loss, new flashes or floaters, eye pain or double vision need urgent assessment rather than a routine appointment. Routine glaucoma screening in adults without symptoms is not established, so bring symptoms and family history to the appointment.
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62Crisis support
Connect them with help, then keep in touch
- If safe, ask directly and listen without judgement; immediate danger means contacting emergency services now.
- Help them reach a crisis service or clinician. If you can do it safely, put time and distance between them and dangerous items: lock up medicines, and ask for any firearm to be removed from the home for now or stored locked and unloaded, with ammunition locked separately.
- Once help is connected, agree a next check-in and follow through; keep support shared with professionals and trusted people.
If someone is in immediate danger, contact local emergency services and stay with them if it is safe for you to do so. This is support, not treatment: professional help is still needed.
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63Strength
Give your weekly activity a bone health check
- Stage 1: Review your current activities and any bone health or mobility restrictions.
- Stage 2: Ask a clinician about suitable loading if you have osteoporosis, low bone density or a fracture history.
- Stage 3: Include appropriate movement on your feet alongside resistance and balance work.
- Stage 4: Build gradually within your abilities and review the plan if symptoms or circumstances change.
With osteoporosis, a previous fragility fracture or low bone density, ask a clinician which loading and impact are suitable.
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64Targeted nutrients
Find a reliable daily food source
- Stage 1: Check your age-specific requirement and current food labels.
- Stage 2: Include suitable calcium foods in regular meals, respecting any prescribed diet.
- Stage 3: Review your intake and ask a clinician or dietitian about persistent gaps rather than guessing a supplement dose.
Discuss supplements if food intake is inadequate, especially with kidney disease, kidney stones or medicines that interact with calcium.
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65Addictive behaviours
Put support and barriers together
- Contact a specialist service and tell a trusted person if safe; seek urgent crisis help if you feel unsafe.
- Arrange bank blocks, self-exclusion and device blocking with support, rather than relying on willpower alone.
- Follow up on treatment and debt advice, reviewing where access or urges still cause difficulty.
Gambling related distress can turn urgent. Seek immediate crisis support if you feel unsafe or have thoughts of suicide.
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66Hearing protection
Protect your next noisy outing
- Identify the noisy activity and reduce volume or increase distance where possible.
- Choose comfortable hearing protection and practise fitting it correctly.
- Wear it throughout exposure and take breaks somewhere quiet.
- Ask a hearing professional about persistent ringing or trouble hearing.
Ask a hearing professional about persistent ringing or trouble hearing, and about protection suitable for your noise exposure.
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67Stress
One problem, one experiment, one review
- Describe a specific problem and separate what you can influence from what you cannot.
- List options, choose a feasible one and try it at a planned time.
- Review what happened, keep what helped and adjust the next step; seek therapy if symptoms persist.
If low mood or hopelessness persists, ask a professional about problem solving therapy or another treatment rather than working through it alone.
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68Mobility
Make exercise fit your knee
- Stage 1: Discuss your symptoms and daily movement goals with a clinician or physiotherapist.
- Stage 2: Get a home plan combining appropriate muscle strengthening and general activity.
- Stage 3: Follow the agreed amount and increase gradually as advised.
- Stage 4: Request a review for substantial or lasting worsening rather than pushing through it.
Get clinical advice for a newly swollen, hot or severely painful joint or if a programme makes symptoms persistently worse.
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69Relationships
Start a safer, clearer conversation
- First consider safety: if you feel afraid or controlled, seek confidential specialist support instead of a joint discussion.
- In a safe relationship, choose a calm time and exchange one concern and one practical request.
- Check whether the agreed change helps; if conflict keeps returning, ask about suitable counselling.
If there is fear, coercion or abuse, seek confidential specialist support. Joint counselling can be unsafe in that situation.
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70Targeted nutrients
Check your source, then keep it reliable
- Stage 1: Check labels and identify whether you have a regular iodine source.
- Stage 2: If a source is missing, discuss suitable foods or supplements, especially in pregnancy or with thyroid disease.
- Stage 3: Recheck when changing your main plant drink, prenatal or diet; keep any prescribed low iodine instructions.
Thyroid disease or a prescribed low iodine diet needs individual guidance. Avoid high dose iodine or kelp supplements unless advised.
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71Dietary fats
Check your regular purchases
- Stage 1: Check the ingredient lists of your usual spreads and baked snacks.
- Stage 2: Replace products listing partially hydrogenated oil with suitable alternatives.
- Stage 3: Ask about the cooking fat when buying unpackaged foods where these oils may still be used.
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72Tobacco
Protect yourself from nicotine dependence
- Stage 1: If you do not use nicotine, keep your refusal ready for social offers.
- Stage 2: If you already smoke or vape, discuss a suitable plan with a cessation adviser.
- Stage 3: Review that plan with support, making staying off cigarettes the priority.
If pregnant or struggling with nicotine dependence, ask a maternity or cessation professional for help.
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73Home safety
Keep alarms working
- Check smoke alarm coverage in bedrooms, outside sleeping areas and on each level, plus carbon monoxide alarms near sleeping areas.
- Arrange safe installation or replacement; leave hardwired work to a qualified electrician.
- Test smoke alarms monthly and follow the maker's battery and carbon monoxide alarm instructions.
- Plan how everyone will leave; if an alarm sounds, get outside and call for help.
Possible carbon monoxide exposure requires fresh air and urgent help. An alarm does not replace proper installation and maintenance of fuel burning appliances.
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74Stress
Get help with the next decision
- Identify urgent needs and contact free advice; do not wait for a complete budget.
- With the adviser, review income, bills, debts and support you may qualify for.
- Agree the next contacts or forms, keep copies and arrange another check-in if needed.
Seek mental health care if worry or low mood persists or impairs daily life. Urgent distress or thoughts of suicide need immediate crisis support.
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75Sleep
Set up a darker place to sleep
- Stage 1: Notice which light sources reach your sleeping position.
- Stage 2: Turn off unnecessary screens and room lights; use curtains or an eye mask for outside light.
- Stage 3: Check comfort and nighttime safety, retaining a dim light wherever needed.
If you need a light on for safety at night, keep it and choose the dimmest option that works for you.
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76Stress
Try it, then decide whether it fits
- Try a brief practice when you are safely at rest, with permission to stop.
- If helpful, choose a regular everyday pause for a few minutes of practice.
- If you want more support, ask about a structured course with a trained teacher; keep any existing treatment in place.
Mindfulness can sometimes increase anxiety or distress. Stop if that happens, discuss it with a clinician, and keep any existing treatment in place.
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77Movement
Attach a short walk to one meal
- Stage 1: Choose a meal and a manageable route; check activity advice with your diabetes team if low blood sugar is a risk.
- Stage 2: Try a short, comfortable walk after that meal.
- Stage 3: Repeat when practical and build toward ten minutes if comfortable.
- Stage 4: Keep the routine manageable without changing diabetes treatment on your own.
If you take medicines that can cause low blood sugar, ask your diabetes team how to adjust activity safely.
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78Movement
Prepare before adding harder efforts
- Stage 1: Establish a comfortable regular movement routine rather than beginning with vigorous bursts.
- Stage 2: Check with a clinician before vigorous activity if you have been inactive, have a disability, have overweight or a condition that limits activity.
- Stage 3: Ask how to add and recover from harder efforts within a plan suited to you.
- Stage 4: Review tolerance before increasing effort; brief bursts are optional, not a requirement for a useful activity habit.
CDC advises checking with a doctor before starting vigorous activity if you have been inactive, have a disability or have overweight.
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79Drinks
Make regular drinking easier
- Stage 1: Check whether you have a prescribed fluid allowance and keep to it.
- Stage 2: Link drinks to meals or breaks and keep a drink accessible.
- Stage 3: Review needs during heat, illness or prolonged activity; ask for advice if a fluid restriction applies.
Follow an individualized fluid plan if you have been given a fluid restriction for heart or kidney disease.
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80Caregiving
Arrange a break with dependable cover
- Tell your health or social care team you are an unpaid carer and ask about support and costs.
- Agree suitable cover, a handover and a backup with the person you care for and those helping.
- Try a manageable break once cover is confirmed, then review what needs adjusting for the next one.
If caring is affecting your own mental or physical health, see your own clinician as well as the team supporting the person you care for.
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81Strength
Get the right routine for leakage
- Stage 1: Describe your symptoms and ask for an assessment rather than assuming every leak needs the same exercises.
- Stage 2: Have a professional check that you can contract and relax the right muscles.
- Stage 3: Follow the routine they tailor to you, using regular daily cues to remember it.
- Stage 4: Review progress with them and seek advice for pain, emptying problems or continuing symptoms.
Get pelvic health advice for pain, difficulty emptying your bladder or uncertainty about technique.
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82Home safety
Test, interpret and reduce exposure
- Ask your local authority about approved tests, duration and national action levels.
- Place the kit exactly as instructed and leave it for the full measurement period.
- Send it for analysis and review the result using local guidance.
- If elevated, arrange qualified advice on confirmation or mitigation, then retest after the work.
Action levels vary by country and do not mark a completely safe threshold. Use a qualified radon professional to interpret high results and plan mitigation.
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83Wellbeing
Find a nature visit you can repeat
- Choose a safely accessible green space and try a short visit that fits your day.
- Return when convenient, alone or with someone you enjoy; extend the visit only if it suits you.
- If you want a regular group, ask about a local garden or nature activity and check accessibility before joining.
Nature time supports wellbeing but does not replace care for persistent depression or anxiety.
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84Substances
Move away from frequent recreational use
- Stage 1: Record your pattern; get help for withdrawal and discuss prescribed cannabis with its prescriber.
- Stage 2: Replace one regular use occasion with another activity and plan sober transport whenever needed.
- Stage 3: Review use weekly and keep reducing exposure with support; occasional use is not risk free.
Discuss prescribed cannabis with its prescriber before changing treatment; seek professional help for dependence or withdrawal.
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85Targeted nutrients
Confirm a dependable B12 routine
- Stage 1: Identify your fortified foods or existing supplement plan and check labels.
- Stage 2: Ask a pharmacist or clinician about gaps or an appropriate routine; report numbness or balance problems promptly.
- Stage 3: Recheck when changing products or diet, and follow up any suspected deficiency clinically.
The dietary requirement is not a treatment dose. Numbness, balance problems, anemia or malabsorption need clinical assessment.
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86Movement
Use feedback to build a habit
- Stage 1: Record usual movement for a few days using minutes, familiar routes or an existing step counter.
- Stage 2: Set one specific, achievable activity goal.
- Stage 3: Keep recording and compare your plan with what actually happened.
- Stage 4: Adjust the goal when needed and keep using the record as feedback.
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87Sleep
Fit daylight around your sleep
- Stage 1: Identify your intended sleeping and waking hours.
- Stage 2: If you sleep at night, fit an outdoor opportunity into the morning or another daylight break.
- Stage 3: Repeat a practical routine without chasing a fixed minute target.
- Stage 4: Get timing advice if night shifts or a circadian rhythm disorder make the usual pattern unsuitable.
If you work nights or have a diagnosed circadian rhythm disorder, seek advice on timing light around your sleep.
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88Culture
Make one cultural outing possible
- This week, find one free or affordable event that interests you.
- Check travel, access and timing, and arrange company if you want it.
- After the visit, decide what you enjoyed and choose another occasion that fits your budget and energy.
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89Mental health
Put maternity mental-health support in place
- Tell your care team about current symptoms, previous depression and practical support.
- If currently well but at higher risk, ask about preventive counselling; if symptomatic, ask for assessment and treatment.
- Agree follow-up and an urgent contact route, and ask trusted people for specific practical help; discuss medication changes with your clinician.
Discuss symptoms and any medication changes with your care team. Hallucinations, severe confusion or thoughts of harming yourself or your baby need immediate emergency help.
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90Sleep
Make a quieter end to the day
- Stage 1: Choose a realistic time to stop using screens before bed.
- Stage 2: Prepare a quiet replacement activity and gentler lighting.
- Stage 3: Try the routine across several evenings and adjust it to fit your life.
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91Brain health
Learn one useful thing at a time
- Choose an interesting skill and a free beginner resource or class.
- Try a short lesson, then return to practise the part you found challenging.
- Add a slightly harder step or learn with someone else when ready; change the activity if it becomes a chore.
New memory difficulties that affect everyday tasks deserve clinical assessment, not just more learning activities.
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92Digital habits
Change one online habit and review it
- Notice one recurring use pattern that leaves you worse off, alongside the online contact you want to keep.
- Try one change, such as muting a feed or setting a time to check it, while protecting useful support.
- Review mood, sleep and daily functioning after a week; adjust the experiment or seek professional help if distress persists.
Do not cut off online support that matters to you. Persistent distress or compulsive use may need professional help.
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93Movement
Make movement fit your pregnancy
- Stage 1: Discuss your usual activity and any pregnancy complications with your maternity team.
- Stage 2: Choose comfortable options such as walking or swimming if suitable for you.
- Stage 3: Build up gently, keeping a conversational pace and adapting to symptoms and advice.
- Stage 4: Work toward the recommended weekly amount when appropriate, accepting smaller amounts as a useful start.
Your maternity clinician should guide activity when there are pregnancy complications or new concerning symptoms.
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94Sleep
Protect recovery around your roster
- Stage 1: Map work, travel and necessary commitments against available sleep time.
- Stage 2: Protect a main sleep opportunity and arrange a quieter, darker room for daytime sleep.
- Stage 3: Consider additional sleep opportunities such as naps and discuss insufficient recovery time at work.
- Stage 4: Seek clinical help if adequate sleep remains difficult or excessive sleepiness continues.
Seek clinical help if you cannot sleep adequately or remain excessively sleepy despite protecting time for sleep.
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95Connection
Try a role before expanding it
- Ask a suitable organisation what help it needs and agree a manageable starting commitment.
- Agree the role, hours and support with the organiser before starting.
- After a month, review whether it feels rewarding and sustainable; reduce or change it if needed.
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96Wellbeing
Turn a value into a repeatable action
- Choose one way you want to treat yourself or other people.
- Pick a small action that expresses it and give it a realistic place in your week.
- Review whether the action is feasible and meaningful, and make it smaller or change it as life changes.
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97Targeted nutrients
Check the advice that fits you
- Stage 1: Review your country's guidance and any existing clinical instructions.
- Stage 2: Discuss uncertainty, deficiency risk or overlapping products with a pharmacist or clinician.
- Stage 3: Keep the agreed plan and revisit it when the season, diet or health circumstances change.
A diagnosed deficiency, kidney disease or high calcium requires individual advice. Treatment doses may differ from prevention doses.
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98Connection
Keep a place to belong through change
- Before a work change, identify groups you want to retain and contact the organisers.
- If contact has already been lost, try one recurring group based on an interest you enjoy.
- After a few meetings, decide whether to return, try another group or ask a community service for help finding a better fit.
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99Mobility
Keep comfortable movement in your week
- Stage 1: Choose gentle movements appropriate to your joints; get advice about pain, injury or unusually loose joints.
- Stage 2: Learn the positions and move only through a comfortable range.
- Stage 3: Make suitable flexibility practice part of your week at least twice, alongside other appropriate activity.
- Stage 4: Build slowly and review movements that cause symptoms.
Ask a physiotherapist about persistent joint pain, recent injury or unusually loose joints.
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100Movement
Return at the pace of your recovery
- Stage 1: Review your recovery and seek individual advice for complications, pain, worsening bleeding or pelvic symptoms.
- Stage 2: After a straightforward birth, begin gentle movement such as walking when you feel ready.
- Stage 3: Increase gradually as symptoms and recovery allow, including appropriate strength work.
- Stage 4: Get advice at your 6-week postnatal check before high-impact exercise such as running; after a caesarean, ask your midwife or GP first.
- Stage 5: Work toward a sustainable weekly routine; guideline totals are later goals, not a deadline just after delivery.
Get individual advice for pain, worsening bleeding, pelvic symptoms or complications; the weekly goal is not an immediate target after delivery.
Nothing fits this length yet.
General health information, not a diagnosis or an individual treatment plan. Personalization changes the order of suggestions; it does not assess your medical risks. Follow the cautions and consult a qualified clinician when needed.