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Health - Faith McDowell's Survey
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Name
:
Do you exercise?
Yes
No
What is your age group?
18-25
25-30
30-35
35-45
45-55
more than 55
What is your gender?
Male
Female
On a scale of 5 where 1=very unhealthy and 5=very healthy, how would you mark your life style?
1
2
3
4
5
How much do you exercise per week?
30 minutes
60 minutes
more than 60 minutes
I don't exercise
Do you regard yourself overweight?
Yes
No
Do you regard yourself underweight?
Yes
No
What do you do for exercise?
Have you ever played a sport?
Yes
No
Do you smoke?
Yes
No
Do you drink alcohol?
Yes
No
Ildiko
EN111 and EN112 instructor
BMCC Brimley
MI
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