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WorksheetsFitness Introduction Survey
Total questions: 14
Worksheet time: 17mins
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?
What is (are) the main reason(s) for you taking this course? Select all that apply.
Improve cardio
Increase muscle mass
Manage stress levels and learn coping strategies
Improve flexibility and balance
Learn about the science behind fitness related activities
What are you most looking forward to during this course?
What type of workouts do you typically prefer? (select all that apply)
Weightlifting
Circuit Training (stations)
Cardio-based activities
Yoga/Flexibility Routines
Speed and Agility Training
Do you have any special circumstances or medical coniditions that you think I should be aware of?
