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Fitness Program Development
General Fitness & Exercise Inquiry
This survey is designed to collect general information about fitness and exercise for women and any issues they face on a daily basis.
1.
What is your age?
18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65 to 74
75 or older
2.
What is your current activity level?
Low
Moderate
High
Other (please specify)
3.
What do you most often do for exercise?
Weights
Walk
Run
Hike
Swim
Dance
Pilates
Yoga
Bootcamps
Crossfit
Play with a team, club, league
Other (please specify)
4.
Where do you exercise?
Gym
Studio
Outside
Home
Other (please specify)
5.
What time of day do you exercise?
Before 5am
5-7am
7-9am
9-11am
11a-1pm
1-3pm
3-5pm
5-7pm
7-9pm
After 9pm
Whenever I can fit it in
Other (please specify)
6.
What day(s) of the week do you most often exercise?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Everyday
7.
What motivates you to exercise?
Overall health & wellness
Body Image
Pain Managment
Mental clarity
Good instructor or trainer
Other (please specify)
8.
What prevents you from regular exercise?
Health Conditions/Concerns*
Cost of Training/Membership
Hectic Job Schedule
Family/Life demands
Lack of Childcare
Bored with Workouts
Other (please specify)
9.
If you have a health condition or an injury, please specify...
10.
How do you recover from a strenuous workout?
Stretch
Foam Roll
Soak in a bath
Get a massage
Walk it out
Rest
Other (please specify)
11.
What is the one obstacle that keeps you from achieving your health and fitness goals?
