Diet & Exercise
How physically healthy are you?
Not at all healthy
Do you take nutritional supplements?
How important is exercise to you?
Not at all important
In a typical week, how many times do you exercise?
What do you most often do for exercise?
Play a team sport
Do you feel you get too much exercise, too little exercise, or about the right amount of exercise?
Much too much
Somewhat too much
Slightly too much
About the right amount
Slightly too little
Somewhat too little
Much too little
In a typical day, how many of your meals or snacks include carbohydrates?
In a typical day, how many of your meals or snacks include protein?
In a typical day, how many of your meals or snacks include vegetables?
In a typical day, how many of your meals or snacks include fruit?
Do Not Fill This Out