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Exercise Impact on Nutrition Survey

This document contains a questionnaire from the Department of Nutrition and Food Science about the effects of exercise on nutritional status. The questionnaire asks for demographic information and then poses a series of questions about the respondent's exercise habits, physical activity level compared to others, stress levels, energy levels, satisfaction with health and physique, and beliefs about the benefits of exercise. The purpose is to gain information on how exercise may impact nutritional status.

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David Curtis Mintah
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15 views2 pages

Exercise Impact on Nutrition Survey

This document contains a questionnaire from the Department of Nutrition and Food Science about the effects of exercise on nutritional status. The questionnaire asks for demographic information and then poses a series of questions about the respondent's exercise habits, physical activity level compared to others, stress levels, energy levels, satisfaction with health and physique, and beliefs about the benefits of exercise. The purpose is to gain information on how exercise may impact nutritional status.

Uploaded by

David Curtis Mintah
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

DEPARTMENT OF NUTRITION AND FOOD SCIENCE

QUESTIONNAIRE ON EXERCISE

DEMOGRAPHICS:
1. Sex
2. Age
3. Level
4. Course of study
5. Type of sport
6. Religion
7. Ethnicity

The following questions are about effects of exercise on nutritional status. In some instances,
these questions may be difficult to answer and may require additional contributors to complete
the questionnaire. We are asking that you help in the best way you deem possible. Remember
that we are available and committed to assisting you in completing this questionnaire.

EXERCISE:
1a. In the past 2 weeks, beginning
Monday and ending this past Sunday, have you done
any exercises, sports, or physically active hobbies?

1 [ ] Yes
2 [ ] No (Jump to 3)

2. Do you exercise or play sports regularly?

1 [ ] Yes
2 [ ] No (Jump to 4)

3. For how long have you exercised or played sports


regularly?

4. Would you say that you are physically more active,


less active, or about as active as other persons your
age?

___________
Number
1[
2[
3[
4[

1[
2[
3[
4[

] Days
] Weeks
] Months
] Years

] More active
] Less active
] About as active
] Other (Specify)______________________

5. Is that (a lot more or a little more/a lot less or a


little less) active?

1[
2[
3[
4[

] A lot more
] A little more
] A lot less
] A little less

6. How often do you exercise on a weekly basis?

1[
2[
3[
4[

] Not at all
] Less often
] More often
] Very often

7. Do you feel stressed throughout the week?

1[
2[
3[
4[

] No
] Sometimes
] Yes
] Dont know

8. Do you have enough energy to make it through the


day?

1[
2[
3[
4[

] No
] Sometimes
] Yes
] Dont know

9. Are you satisfied with your current health or body


physique?

1 [ ] No
2 [ ] Yes

10. Do you think exercising would be beneficial to


your overall health?

1[
2[
3[
4[

] No
] Maybe
] Yes
] Dont know

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