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General information

Age
Under 18
18 - 25
26 - 40
41 - 60
60 +
Gender
Female
Male
Current occupation
Student
Full-time job
Part time job
Stay at home
Other

Current physical activity level

How would you describe your general activity level?
Sedentary (Little or no exercise)
Lightly active (Little exercise 1 - 2 days per week)
Moderately active (5 - 6 days per week)
Very active (5 - 6 days per week)
Athlete (intense training daily)
Do you practice regular exercise or sports?
Yes
No
If yes, what type (s) of activity?

Exercise frequency & duration

How many days per week do you exercise?
0
1 - 2
3 - 4
5 - 6
7
Average duration of each workout
0 - 20 minutes
20 - 40 minutes
40 - 60 minutes
60 minutes +
Intensity of your typical workout ?
Low
Moderate
High

Goals & motivation

What are your primary goals ? (Select all that apply)
What motivates you the most to exercise ?

Health issues that may limit physical activity.

Do you have any diagnosed medical cardiovascular condition ? (Sellec all that apply)
Do you have any diagnosed medical respiratory condition ? (Sellec all that apply)
Do you have any diagnosed medical metabolic condition ? (Sellec all that apply)
Do you have any diagnosed medical musculoskeletal condition ? (Sellec all that apply)
Do you have any diagnosed medical neurological condition ? (Sellec all that apply)
Do you have any diagnosed medical other condition ? (Sellec all that apply)
Are you currently taking medication that may affect exercise ?
Yes
No
Do you experience pain during exercise or daily activities ?
Never
Sometimes
Often
Yes, regulary

Lifestyle factors

How many hours of sleep do you get per night ?
Less than 5
5 - 6
7 - 8
More than 8
How would you rate your stress level ?
Low
Moderate
High
How much do you walk dayly ?
Less than 3 000 steps
3 000 - 6 000 steps
6 000 - 10 000 steps
More than 10 000 steps

Knowledge & Preferences

How would you rate your knowledge of exercise and training ?
Beginner
Intermadiate
Advanced
What kind of workouts do you prefer ?
Are you interested in receiving personalized training advice ?
Yes
Maybe
Not at the moment
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