Questionnaire template
Health and Fitness Habits
Profiles a programme member's diet, exercise trends and sleep so that wellness advice can be personalised.
Preview
Other · Quiz. All Other templates
Questions in this template
Eating Habits
Thank you for taking part. These few questions about your eating, exercise and sleep help us shape advice that suits you.
-
Which of these best describes the way you usually eat?
Choose one from a list:
- Vegan
- Vegetarian
- Pescatarian
- Omnivore
- Other
-
Please describe your diet.
Condition: Shown when Other is selected
Open answer
-
How often do you eat processed or packaged convenience food?
Choose one:
- Never
- Rarely
- Sometimes
- Often
- Always
Exercise
-
Compared with six months ago, how often do you now do each of these activities?
- Running
- Yoga
- Weight training
- Cycling
For each row: choose one:
- More often
- About the same
- Less often
- I don't do this activity
-
What is the main reason you exercise?
Choose one:
- General health
- Managing my weight
- Relieving stress
- Keeping my body working well
- Other
-
What is your main reason for exercising?
Condition: Shown when Other is selected
Open answer
Sleep
-
On a typical night, how many hours do you sleep?
Choose one:
- Less than 5 hours
- 5–6 hours
- 7–8 hours
- 9 hours or more
-
What, if anything, most often stops you from sleeping well?
Choose one:
- Stress from work
- Difficulty falling or staying asleep
- Noise or interruptions at home
- Nothing in particular
- Other
-
What else gets in the way of your sleep?
Condition: Shown when Other is selected
Open answer