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Questions marked with a * are required Exit Survey
 
 
Are you male or female?
 
Male
 
Female
 
 
 

 How old are you?


 
Under 15
 
Under 25
 
Under 35
 
Under 45
 
Under 55
 
 
 

1. Do you belong to a gym?


 
Yes
 
No
 
A home gym
 
 
 

2. In a typical week, how many days do you exercise?


 
I don't regularly exercise
 
Once a week
 
2 to 4 days a week
 
5 to 7 days a week
 
 
 

3. What motivates you to exercise?


 
Peers encourage you to
 
Health benefits eg losing weight, diabetic issues, heart conditions etc
 
Brings a feeling of happiness 
 
You find it fun 

 
 
 
* 4. Why do these influences motivate you?
   
 
 
 
5. Is there anything that discourages you from exercising? If so, what?
   
 
 
 
6. Could you easily remove these barriers?
 
Yes
 
No
 
I don't know
 
 
 
7. Aside from exercising, how would you say your diet is?
 
Good
 
Bad
 
Good and bad
 
Neither good nor bad
 
Don't know
 
 
 
 
 
Weekly
 
Monthly
 
Quarterly