Fitness Introduction Survey

How would you rate your current level of overall physical fitness? (1 indicating low level/5 indicating high level)

• 1

• 2

• 3

• 4

• 5

How would you rate your level of stress on a daily basis?

(1 indicating low/no stress and 5 indicating high stress)

• 1

• 2

• 3

• 4

• 5

How many hours of sleep do you get each night?

• less than 6 hours

• 6-8 hours

• 8-10 hours

• more than 10 hours

Currently, how many times a week are you physically active?

• 1-2

• 3-4

• 5-6

• 7

On average, when you are physically active, how long do you typically exercise for?

• less than 30 minutes

• 30-45 minutes

• 45-60 minutes

• greater than 60 minutes

How many meals (including snacks) do you typically eat a day?

• 2 or less

• 3-4

• 5

• 6 or more

How many glasses of water do you drink in a typical day?

• 2 or less

• 3-4

• 5-6

• 7 or more

How many calories (estimate) do you consume daily?

• Don't know

• less than 1500

• 1500-2000

• 2000-2500

• greater than 2500

What is your experience level within the weight-room? (1 = no experience, 5 = high level of experience)

• 1

• 2

• 3

• 4

• 5

What do you anticipate being your greatest challenge during this course?

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