fMRI Exercise Study Questionaire

f-MRI Exercise Study Questionaire for Recruitment of Participants

The aim of this study is to assess areas of the brain linked to anxiety and cognitive functioning in relation to physical activity. Based on information collected during this online screening survey, a researcher will be in contact if you meet the criteria for further participation in the study. This online screening survey consists of 10 short questions on your general information (e.g. name, age, etc.) and also on your past and current level of regular physical activity. To determine your eligibility, please complete the following questions.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. Please contact us at [email protected] if you have questions about the study or survey.

If a prospective participant is deemed ineligible, any previously collected information will be destroyed. Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

I Agree

4. If you selected "No" to questions 1-3 above, you may continue on with the survey.

(a.) What is your legal name?

(b.) Age

(c.) Height

(d.) Weight

(e.) Gender

(f.) GRE and/or SAT scores or NONE

(g.) What is the highest educational degree you hold?

5. Email Address:

6. Phone number:

I was inactive and not interested in becoming active.

I was inactive and interested in becoming more active.

I was getting some physical activity.

I was getting regular physical activity (30 minutes of moderate activity at least 5 days a week).

I am inactive and not interested in becoming more active.

I am inactive and interested in becoming more active.

I am getting some physical activity.

I am getting regular physical activity (30 minutes of moderate activity at least 5 days a week).

I have been getting regular physical activity (30 minutes of moderate activity at least 5 days/week) for the last 6 months.

10a. Please list any medications below you are currently taking.

10b. List any mental health/psychiatric disorders you have or have been diagnosed with.