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Questions marked with an * are required Exit Survey
 
 
In a day how hours do you spent for exercise
 
2hours
 
3hours
 
4hours
 
i did not do any exercise

 
 
* what type of exercise you will do
 
gymnastiks
 
aerobics
 
running,jogging
 
other
 
 
which type of food you prefer
 
carbohydrated food
 
uncarbohydrated food
 
less fat food
 
other
 
 
 
if you suffering any of this health problems
 
cancer
 
hiv/aids
 
headache
 
high blood pressure
 
 
 
if you consider a doctor in past 12 months
 
yes
 
no
 
dont know
 
im not sure
 
 
 
are you a member of any health community
 
yes
 
no
 
i dont know
 
not sure
 
 
 
 
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
do you volunteer of
 
karate
 
aerobics
 
gym
 
other
 
 
 
 
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
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