Witness Fitness

Survey Questions for the Witnness Fitness Exercise Group
Name: 


A red asterisk (*) indicates required questions.

  1. Do you currently have heart disease?*


  1. Do you currently have diabetes?*


  1. What type of physical activity do you engage in outside Witness Fitness?*


  1. Do you have a family history of heart attacks; strokes; diabetes and/or high blood pressure?*


  1. How many calories on average do you intake per day?*


  1. Would you consider yourself to be either obese or overweight?*





Beth Frierson, M.A.T, NBCT
Phillip O Berry Academy of Technology - AOIT