Welcome to this Montclarion Survey

By answering these simple questions, we hope to profile your fitness and health routines - for the new year and beyond.

Question Title

* 1. How often do you? (Times/Month)

  Zero One Two Three Four Five Six-Ten Over Ten
Go the local parks w/kids
Take a walk alone or w/dog
Take a walk w/adults
Take a hike on trails
Go to the gym - Jan
Go to the gym - afterwards
Do aerobics at gym
Do weights at gym
Do classes at gym
Use any spa services
Go to yoga or pilates
Go running or jogging
Take a bike ride
Play other sports

Question Title

* 2. What about your own eating habits? (Times/Month)

  Zero One Two Three Four Five Six-Ten Over Ten
Take vitamins
Take other supplements
Eat breakfast
Consume fruit
Consume veggies
Stick to vegetarian diet
Have other special diet

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* 3. What about your own cheating habits? (Times/Month)

  Zero One Two Three Four Five Six-Ten Over Ten
Eat breakfast junk
Buy fast food meals
Consume candy
Scarf chips or salty snacks
Create late night feasts
Eat too much food generally

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* 4. Fess up. What other vices or bad habits are you willing to admit?

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* 5. How concerned or obsessed are you about?

  Not At All Somewhat Average Above Average Obsessed Not Applicable
Eating - Yours
Eating - Spouse/Partner
Eating - Still-Home Kids
Exercise - Yours
Exercise - Spouse/Partner
Exercise - Still-Home Kids
TV Time - Yours
TV Time - Spouse/Partner
TV Time - Still-Home Kids
Vid Games - Yours
Vid Games - Spouse/Partner
Vid Games - Still-Home Kids
Online Time - Yours
Online Time - Spouse/Partner
Online Time - Still-Home Kids

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* 6. How old are you?

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* 7. What's your gender?

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* 8. Do you have other specific insights or opinions to share?

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