Exit this survey Diet & Exercise Template * 1. How physically healthy are you? Not at all healthy Extremely healthy Clear i We adjusted the number you entered based on the slider’s scale. * 2. Do you take nutritional supplements? Yes No * 3. How important is exercise to you? Not at all important Extremely important Clear i We adjusted the number you entered based on the slider’s scale. * 4. What do you most often do for exercise? Lift weights Walk Run Hike Swim Dance Aerobics Pilates Play a team sport Other (please specify) * 5. Do you feel you get too much exercise, too little exercise, or about the right amount of exercise? Much too little The right amount Much too much Clear i We adjusted the number you entered based on the slider’s scale. * 6. In a typical day, how many of your meals or snacks include carbohydrates? * 7. In a typical day, how many of your meals or snacks include protein? * 8. In a typical day, how many of your meals or snacks include vegetables? * 9. In a typical day, how many of your meals or snacks include fruit? * 10. In a typical day, how many microwavable or ready-made meals do you eat? Done