Healthcare Questionnaire
Answers marked with a * are required.
1 / 4
25%
Physical Activity
Please select the answer that best identifies your response to each corresponding statement.
1.
I engage in moderate physical activity outside of work for at least 20 to 30 minutes at least 5 days of the week
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
2.
My physical activity includes stretching, aerobic activity, and strength conditioning
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
3.
I use alternative modes of transportation whenever possible to and from various locations (i.e. stairs instead of elevator, biking or walking instead of driving)
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
4.
I take the health benefits of physical activities and their lasting impact seriously
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
5.
I enjoy sedentary activities rather than physical activities.
Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree