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Gender
 
Male
 
Female
 
 
 
Age
 
 
 
Race
 
 
 
Marital Status
 
 
 
In general, how would you describe your health?
 
Excellent
 
Very Good
 
Good
 
Fair
 
Poor
 
 
Do you believe frequent exercise promotes a healthy lifestyle?
Strongly Agree Agree Neutral Disagree Strongly Disagree
 
 
 
Do you believe a lack of exercise can increase your risk of obesity, diabetes mellitus, hypertension, and other complications?
Strongly Agree Agree Neutral Disagree Strongly Disagree
 
 
 
Do you believe a lack of exercise can negatively affect your mental productivity?
Strongly Agree Agree Neutral Disagree Strongly Disagree
 
 
 
Do you think exercise is a waste of your study time?
Strongly Agree Agree Neutral Disagree Strongly Disagree
 
 
 
 
Do you exercise?
 
Yes
 
No
 
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