Paragraph #2 Discuss how your mind has changed. Talk about things you have seen that have open up your eyes to American ways. Discuss the educational system.

Paragraph #3 Discuss your body changes. Talk about clothes, conditioning in p.e. classes.

Paragraph #4 Discuss your health and health care.

Paragraph #5 Review all the things you talked about.

Good Luck!

On the body part, have you gotten used to a different climate? The foods you eat, are they better or worse, have you changed your diet?

And with the health part of it, do you feel that this country subjects you to more environmental hazards, are you better off here as far as better doctors, more concern for health issues. Basically it seems that the essay is asking you to give the pros/cons to livng here rather than in your native country.

I hope I have helped some. It is kind of difficult to answer not knowing what country you may have lived in before.