1.How many days per week do you engage in physical exercise?

0 days

1-2 times per week

3-4 times per week

5-6 times per week

Every day

2.How would you rate your current energy levels throughout the average day?

Very low

Low

Moderate

High

Very high

3.On average, how many days per week do you eat balanced meals that include fruits and vegetables?

Never

Rarely

Sometimes

Often

Always

4.On average, how many hours of sleep do you get each night?

Less than 4 hours per night

4-6 hours per night

6-8 hours per night

8+ hours per night

5.At present, do you experience any ongoing physical pain or discomfort?

Never

Rarely

Sometimes

Often

Constantly

6.How often do you attend routine health screenings or medical check-ups?

More than once a year

Once a year

Every 2-3 years

Only when I have a health concern

Rarely

Never

Prefer not to say

7.How would you describe your current fitness level?

Very poor

Poor

Average

Good

Excellent

8.How often do you feel physically exhausted or fatigued?

Never

Rarely

Sometimes

Usually

Always

9.What physical health goal is most important to you right now?

Losing weight

Building strength or muscle

Improving fitness/endurance

Better sleep

Managing a health condition

Maintaining current health

Other (please specify)

10.What are the biggest challenges you currently face in maintaining your health

Lack of time

Lack of motivation

Financial cost

Work or family commitments

Limited access to facilities/resources

Physical limitations or injury

Other (please specify)