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Exit Survey
 
 
Gender :

 
Male
 
Female
 
 
 
Age :
 
< 16
 
17-25
 
26-55
 
>55
 
 
 
1. How physically healthy are you?
 
Healthy
 
Not healthy
 
 
 
2. How often do you exercise?
 
Never
 
Once every two weeks
 
Once a week
 
Four times a week
 
Everyday
 
 
 
3. How long it takes for you to exercise?
 
< 15 min
 
16 – 30 min
 
31 – 45 min
 
46 – 60 min
 
> 1 hour
 
 
 
4. What time of day do you exercise?
 
Early morning (6 am – 8 am)
 
Morning (9.30 am – 11 am)
 
Lunchtime (11 am – 1 pm)
 
Afternoon (2 pm – 5 pm)
 
Evening (> 6 pm)
 
 
 
5. Do you take part in fitness center?
 
Yes
 
No
 
 
 
6. Do you take nutritional supplements?
 
Yes
 
No
 
 
 
7. How important is exercise to you?
 
Very important
 
Moderately important
 
Slightly important
 
Not at all
 
 
 
8. What motivate you to exercise?
 
Healthy lifestyle
 
Body building
 
Reduce weight
 
Gain weight
 
Other