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Please state your gender
 
Male
 
Female
 
Other
 
Do not wish to state
 
 
 
Please state your age
 
18-25
 
26-40
 
41-59
 
60-75
 
76 or older
 
 
 
Please state your ethnicity
 
White
 
African American
 
Asian or Pacific Islander
 
Indian
 
Other
 
 
 
Do you have a job?
 
Yes, full time
 
Yes, part time
 
No
 
 
 
Are you a member of a gym?
 
Yes
 
No
 
 
 
Do you feel that gym memberships are more expensive than an average worker can afford?
 
Yes, they are overpriced
 
Sometimes, it depends on the gym, location and deals you can get
 
No, everyone should be able to afford a membership
 
 
 
How often do you exercise?
 
Never
 
Once or twice a week
 
Three or four times a week
 
Everyday
 
Sporadically, as often as my schedule allows
 
 
 
Are you health conscience while choosing what to eat?
 
Yes
 
No
 
Sometimes
 
 
 
How often do you eat fast food?
 
Never
 
Occasionally, when I'm in the mood for it
 
About once a week
 
More than once a week
 
 
 
Do you surround yourself with others who enforce healthy living?
 
Yes
 
No
 
Sometimes