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What gender do you identify by?
 
Female
 
Male
 
Other
 
 
 
What is your current age?
 
18
 
19
 
20
 
21
 
22
 
23
 
24
 
25
 
26 and over
 
 
 
How would you rate your sense of general well-being?
(1=very poor, 5= moderate, 10= Excellent)
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
8
 
9
 
10
 
 
 
Do you exercise?
 
Yes
 
No
 
Occasionally
 
 
 
How important is exercise to you?
 
Extremely important
 
Very important
 
Moderatley important
 
Slightly important
 
Not at all important
 
 
 
If you do not exercise, please select the reason(s) why you do not.
 
I cannot afford to
 
I do not know how
 
It won't do any good
 
I am not healthy or fit enough to exercise
 
I do not have the time
 
I am too embarrassed
 
I do not have the transportation

 
 
 
If you do exercise, please select the reason(s) why you do
 
Fitness
 
Bodybuilding
 
Weight Control
 
Health
 
Social
 
Mood enhancement
 
Enjoyment/Fun
 
Improve Physical Appearance
 
Other
 

 
 
 
On average, how much do you exercise?
 
I do not exercise
 
1 day/week
 
2 day/week
 
3 day/week
 
4 day/week
 
5 day/week
 
6 day/week
 
7 day/week
 
Once a month
 
Other
 
 
 
 
On average, how long is each of your exercise sessions?
 
Less than 30min
 
30 min - 1 hour
 
1 hour- 1h 30min
 
1h 30min - 2 hours
 
2 hours - 2h 30min
 
More than 2h 30min
 
I do not exercise
 
 
 
How much exercise do you engage in to reach your goals?
 
Excessive
 
The right amount
 
Too little
 
I do not exercise