Trial Survey

1. Note: In this questionnaire, what is meant by free weights is either barbells (a bar with weight plates that slide on) or dumbbells (individual weight handles). Please continue to the first question. Thank you so much for helping us out with our project!!

Sex:

Note: In this questionnaire, what is meant by free weights is either barbells (a bar with weight plates that slide on) or dumbbells (individual weight handles). Please continue to the first question. Thank you so much for helping us out with our project!! Sex: Male

Female

2. Age:

Age: 12-14

15-18

19-22

23-30

31-40

41-55

56-65

66+

3. What type of home do you live in?

What type of home do you live in? Single family house

Condo / Townhouse

Apartment

Dormitory / college living

4. If you have children, at what educational level are they? (please mark all that apply)

If you have children, at what educational level are they? (please mark all that apply) I don't have children

Pre-elementary school

Grades K - 5

Grades 6 - 12

Out of high school

5. What types of exercise equipment do you regularly use at:
(Please mark all that apply)

	Home	The Gym
None	*What types of exercise equipment do you regularly use at: (Please mark all that apply) None Home	None The Gym
Free weights	Free weights Home	Free weights The Gym
Resistance rod exercisers (Bowflex)	Resistance rod exercisers (Bowflex) Home	Resistance rod exercisers (Bowflex) The Gym
Machines with weight stacks	Machines with weight stacks Home	Machines with weight stacks The Gym
Cardio	Cardio Home	Cardio The Gym
Other	Other Home	Other The Gym

6. Please Indicate the extent to whether you agree or disagree with the following:

	Strongly Disagree	Disagree	Neither Agree or Disagree	Agree	Strongly Agree
Having free weights in the home is dangerous to kids and teens	*Please Indicate the extent to whether you agree or disagree with the following: Having free weights in the home is dangerous to kids and teens Strongly Disagree	Having free weights in the home is dangerous to kids and teens Disagree	Having free weights in the home is dangerous to kids and teens Neither Agree or Disagree	Having free weights in the home is dangerous to kids and teens Agree	Having free weights in the home is dangerous to kids and teens Strongly Agree
Having free weights in the home destroys the aesthetics of the room	Having free weights in the home destroys the aesthetics of the room Strongly Disagree	Having free weights in the home destroys the aesthetics of the room Disagree	Having free weights in the home destroys the aesthetics of the room Neither Agree or Disagree	Having free weights in the home destroys the aesthetics of the room Agree	Having free weights in the home destroys the aesthetics of the room Strongly Agree
It is annoying to load and unload weights from a bar	It is annoying to load and unload weights from a bar Strongly Disagree	It is annoying to load and unload weights from a bar Disagree	It is annoying to load and unload weights from a bar Neither Agree or Disagree	It is annoying to load and unload weights from a bar Agree	It is annoying to load and unload weights from a bar Strongly Agree
The problem with free weights is that the weights and bar lie all over the place	The problem with free weights is that the weights and bar lie all over the place Strongly Disagree	The problem with free weights is that the weights and bar lie all over the place Disagree	The problem with free weights is that the weights and bar lie all over the place Neither Agree or Disagree	The problem with free weights is that the weights and bar lie all over the place Agree	The problem with free weights is that the weights and bar lie all over the place Strongly Agree

7. Please Indicate the extent to whether you agree or disagree with the following:

	Strongly Disagree	Disagree	Neither Agree or Disagree	Agree	Strongly Agree
I've been asked "how much I bench" many times in my life.	*Please Indicate the extent to whether you agree or disagree with the following: I've been asked "how much I bench" many times in my life. Strongly Disagree	I've been asked "how much I bench" many times in my life. Disagree	I've been asked "how much I bench" many times in my life. Neither Agree or Disagree	I've been asked "how much I bench" many times in my life. Agree	I've been asked "how much I bench" many times in my life. Strongly Agree
Using free weights is the best way to train for strength.	Using free weights is the best way to train for strength. Strongly Disagree	Using free weights is the best way to train for strength. Disagree	Using free weights is the best way to train for strength. Neither Agree or Disagree	Using free weights is the best way to train for strength. Agree	Using free weights is the best way to train for strength. Strongly Agree
Using free weights can assist in weight loss	Using free weights can assist in weight loss Strongly Disagree	Using free weights can assist in weight loss Disagree	Using free weights can assist in weight loss Neither Agree or Disagree	Using free weights can assist in weight loss Agree	Using free weights can assist in weight loss Strongly Agree
I understand how to use free weights effectively at home	I understand how to use free weights effectively at home Strongly Disagree	I understand how to use free weights effectively at home Disagree	I understand how to use free weights effectively at home Neither Agree or Disagree	I understand how to use free weights effectively at home Agree	I understand how to use free weights effectively at home Strongly Agree
Looking at a bar with plates on it motivates me to train harder to add more plates in the future	Looking at a bar with plates on it motivates me to train harder to add more plates in the future Strongly Disagree	Looking at a bar with plates on it motivates me to train harder to add more plates in the future Disagree	Looking at a bar with plates on it motivates me to train harder to add more plates in the future Neither Agree or Disagree	Looking at a bar with plates on it motivates me to train harder to add more plates in the future Agree	Looking at a bar with plates on it motivates me to train harder to add more plates in the future Strongly Agree

8. Please Indicate the extent to whether you agree or disagree with the following:

	Strongly Disagree	Disagree	Neither Agree or Disagree	Agree	Strongly Agree
Training with a partner inspires me to stay on a routine and try harder	*Please Indicate the extent to whether you agree or disagree with the following: Training with a partner inspires me to stay on a routine and try harder Strongly Disagree	Training with a partner inspires me to stay on a routine and try harder Disagree	Training with a partner inspires me to stay on a routine and try harder Neither Agree or Disagree	Training with a partner inspires me to stay on a routine and try harder Agree	Training with a partner inspires me to stay on a routine and try harder Strongly Agree
Using free weights enhances friendships between workout buddies	Using free weights enhances friendships between workout buddies Strongly Disagree	Using free weights enhances friendships between workout buddies Disagree	Using free weights enhances friendships between workout buddies Neither Agree or Disagree	Using free weights enhances friendships between workout buddies Agree	Using free weights enhances friendships between workout buddies Strongly Agree
It is necessary to have a spotter when working out with free weights at home	It is necessary to have a spotter when working out with free weights at home Strongly Disagree	It is necessary to have a spotter when working out with free weights at home Disagree	It is necessary to have a spotter when working out with free weights at home Neither Agree or Disagree	It is necessary to have a spotter when working out with free weights at home Agree	It is necessary to have a spotter when working out with free weights at home Strongly Agree

9. Please Indicate the extent to whether you agree or disagree with the following:

	Strongly Disagree	Disagree	Neither Agree or Disagree	Agree	Strongly Agree
Structured exercise done by teens with their guardian could be a great way to bond	*Please Indicate the extent to whether you agree or disagree with the following: Structured exercise done by teens with their guardian could be a great way to bond Strongly Disagree	Structured exercise done by teens with their guardian could be a great way to bond Disagree	Structured exercise done by teens with their guardian could be a great way to bond Neither Agree or Disagree	Structured exercise done by teens with their guardian could be a great way to bond Agree	Structured exercise done by teens with their guardian could be a great way to bond Strongly Agree
When weight training, overweight teens could compete with teens of average weight	When weight training, overweight teens could compete with teens of average weight Strongly Disagree	When weight training, overweight teens could compete with teens of average weight Disagree	When weight training, overweight teens could compete with teens of average weight Neither Agree or Disagree	When weight training, overweight teens could compete with teens of average weight Agree	When weight training, overweight teens could compete with teens of average weight Strongly Agree
It is safe for teens (13-18) to train with weights under supervision	It is safe for teens (13-18) to train with weights under supervision Strongly Disagree	It is safe for teens (13-18) to train with weights under supervision Disagree	It is safe for teens (13-18) to train with weights under supervision Neither Agree or Disagree	It is safe for teens (13-18) to train with weights under supervision Agree	It is safe for teens (13-18) to train with weights under supervision Strongly Agree
It is beneficial for teens to strength train	It is beneficial for teens to strength train Strongly Disagree	It is beneficial for teens to strength train Disagree	It is beneficial for teens to strength train Neither Agree or Disagree	It is beneficial for teens to strength train Agree	It is beneficial for teens to strength train Strongly Agree

10. What is your household income level?
(Optional, but extremely helpful)

What is your household income level? (Optional, but extremely helpful) $0 - $20,000

$20,000 - $40,000

$40,000 - $60,000

$60,000 - $80,000

$80,000 - $100,000

$100,000+

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