|
2
|
If so, how many days/hours per week?
| More than 5 days, more than 10 hours |
| More than 3 days, 3 hours |
| Less than 1 day, 1 hour |
| |
3
|
| Cardio |
| Weights |
| Recreational |
| All of the above |
| |
4
|
How do you manage stress?
| I don't have stress |
| Ignore it/sleep on it |
| Exercise |
| |
5
|
Do you currently take anti-depressants or have you ever taken anti-depressants?
| Yes - currently |
| No - currently |
| Yes - in the past |
| No - in the past |
| |
6
|
How would you rate your current nutrition?
| |
7
|
What would be the most beneficial to you in helping you improve your nutrition?
| |
8
|
How would you rate your overall health?
| |
9
|
Do you have high blood pressure or diabetes?
| |
10
|
Are you on medication for a weight related illness? If so, what illness?
| |
11
|
Are you at a healthy weight?
| |
12
|
What would be the most beneficial in helping you to begin living a healthier lifestyle?
| |
|
|