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* 1. What is your age?

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* 2. What is your height in inches?

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* 3. What is your weight in pounds?

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* 4. Please describe your dietary preference (select one):

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* 5. If you are vegetarian, how many years have you been so?

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* 6. Do you smoke?

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* 7. If yes, how many times per day do you smoke?

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* 8. In what sport or activities do you engage?

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* 9. How many days per week do you participate in your sport or activity?

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* 10. How many hours per day do you participate in your sport or activity?

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* 11. I feel my energy level is high BEFORE exercise.

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* 12. I feel my energy level is high DURING exercise

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* 13. I feel my energy level is high AFTER exercise

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* 14. I am in a positive mood BEFORE exercise

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* 15. I am in a positive mood DURING exercise

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* 16. I am in a positive mood AFTER exercise

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* 17. I feel unmotivated BEFORE exercise

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* 18. I feel unmotivated DURING exercise

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* 19. I feel unmotivated AFTER exercise.

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* 20. I have difficulty getting up in the morning

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* 21. My health is important to me

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* 22. I am currently on a diet to lose weight

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* 23. How many times per week do you consume the following?

  Never 1-2 3-4 5-6 7+
Junk food (candy, fast food, potato chips, soda, etc.)
Dairy
Meat
Veggies
Fruits
Grains
Alcohols

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* 24. I feel that nutrition is important to performance

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* 25. Compared to people my age, my health is poor

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* 26. Compared to people my age, my academic or work performance is poor

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