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Health & Wellness Goals Survey
1.
Age Range:
Under 18
18-24
25-34
35-44
45-54
55+
2.
Gender (Optional):
Male
Female
Non-binary
Prefer not to say
3.
Occupation:
Student
Full-time worker
Part-time worker
Stay-at-home parent
Other
4.
What are your main health and wellness goals? (Select all that apply)
Weight loss
Muscle gain/strength building
Improve general health
Improve digestion
Boost energy
Better mental health/well-being
Manage a chronic condition (e.g., diabetes, high blood pressure)
Other
5.
How important is meal planning to you?
Very important
Somewhat important
Not important at all
6.
How often do you exercise?
Daily
A few times a week
Once a week
A few times a month
Rarely
Never
7.
How would you rate your current level of physical fitness?
Excellent
Good
Average
Poor
Very poor
8.
What challenges do you face in achieving your health and wellness goals?
9.
Would you pay a subscription for a meal planning/wellness app if it helped you achieve your health goals?
Yes
No
10.
Would you prefer all online or some face-to-face coaching/assistance?
Online only
Mixed (online & face-to-face)