Building Healthy Habits Group Move It Monday Challenge

Thank you for taking the time to complete this pre-survey! This will give us a better idea of where we're all starting in terms of physical activity. All of this information will be anonymous and only aggregate data would be shared.

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* 1. How many days do you participate in physical activity (at least 30 minutes per session) each week? (Note: This could include going to the gym, going on a walk, playing sports, etc.)

1-2 days per week

3-4 days per week

5-7 days per week

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* 2. Please indicate whether you agree/disagree with this statement. “If I participate in physical activity on Monday, I’m more likely to participate in physical activity the rest of the week.”

Strongly agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

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* 3. Do you feel that you have enough energy for daily activities?

Always

Usually

Sometimes

Rarely

Never

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* 4. If your participation in physical activity is less frequent than you would like, what factors do you think are influencing that? (Note: Check all that apply)

Lack of interest in physical activities offered

Illness or injury

Lack of time

Lack of energy

I think my level of participation in physical activity is enough to stay healthy

Other (please specify)

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* 5. Please indicate your gender.

Male

Female

Other

I do not wish to respond

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* 6. Please indicate your age range.

18 and below

19-25

26-35

36-45

46-55

56+