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What is your age?
   
 
 
 
On average, how many days per week do you exercise?
 
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If you do exercise on a regular basis, how long (in minutes) is your work out normally?
   
 
 
 
Gender
 
Female
 
Male
 
 
 
Ethnicity
 
Asian (Not Indian)
 
African/African American (Black)
 
Caucasian (White)
 
Hispanic (Non-white)
 
Hispanic (White)
 
Indian (Not Native American)
 
Middle Eastern
 
Native American
 
Other
 
 
 
 
On a scale of 1-5, how important is living a health lifestyle to you?
1=Not important at all; 2=Somewhat not important; 3=Neutral; 4=Somewhat important; 5=Very important
 
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