This free survey is powered by
0%
Exit Survey
 
 
what physical acitivties do you do?
 
Swimming
 
Running
 
Cycling
 
Tennis
 
Football
 
Other
 
 
 
 
Do you do any Physical acitivty?
 
Yes
 
No
 
 
 
How often do you eat Vegetables?
 
Never
 
Daily
 
3 times week
 
more than 3 times a week
 
more than 5 times a week
 
 
 
How often do you get chest pains when you do physical activity?
 
Never
 
Daily
 
3 times a week
 
more than 3 times a week
 
more than 5 times a week
 
 
 
Do you get chest pains when you do physical activity?
 
yes
 
No
 
 
 
How often do you smoke?
 
Never
 
less than 3 a week
 
more than 5 a week
 
more than 10 a week
 
 
 
Do you have a history of cardiovascualr disease?
 
No
 
Yes
 
 
 
 
How often do you exercise?
 
Daily
 
Weekly
 
Monthly
 
Other
 
 
 
 
Are you Male or Female?
 
Male
 
Female
 
 
 
How old are you?
 
under 16
 
16-18
 
19-21
 
over 21