Exercise & Health History Attitude Questionnaire Name: Date: Address: Email: Primary Phone #: 1) Please rate your exercise level on a scale of 1 to 5 (5 indicating very strenuous) for each range through.

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How to fill out the MO Trinity Wellness Exercise & Health History Attitude Questionnaire online

Completing the MO Trinity Wellness Exercise & Health History Attitude Questionnaire online is a straightforward process that helps gather vital information about your exercise habits and health history. This guide will walk you through each section to ensure you provide the necessary details accurately and efficiently.

Follow the steps to complete the questionnaire online confidently.

  1. Press the ‘Get Form’ button to access the questionnaire and open it in the online editor.
  2. Begin by filling in your name, date, address, email, and primary phone number at the top of the form.
  3. For question 1, rate your exercise level for each age range from 15-20 up to 51+ on a scale of 1 to 5, where 5 indicates very strenuous.
  4. In question 2, indicate whether you were a high school and/or college athlete by selecting 'Yes' or 'No', and provide details if applicable.
  5. Question 3 asks if you have negative feelings or bad experiences with physical activity programs. Answer 'Yes' or 'No', and describe any negative experiences if necessary.
  6. For question 4, rate various aspects related to your athletic ability and exercise experience on a scale of 1 to 5.
  7. In question 5, specify whether you struggle to stick with exercise programs and provide an explanation if applicable.
  8. Question 6 requires you to fill in how many minutes per day and days per week you are willing to devote to an exercise program.
  9. In question 7, confirm if you currently participate in regular cardiovascular exercise. If yes, specify the type and duration.
  10. Question 8 asks how long you have been exercising regularly; indicate the duration in months and years.
  11. For question 9, list any other exercise, sport, or recreational activities you have engaged in over the past 6 months and 5 years.
  12. Question 10 inquires if you can exercise during your workday; answer accordingly.
  13. Answer question 11 regarding potential interference of an exercise program with your job.
  14. In question 12, consider if an exercise program would benefit your job and select 'Yes' or 'No'.
  15. Question 13 provides a variety of exercise and sports options. Check all that interest you.
  16. In question 14, rank your exercise/fitness goals in terms of importance using the provided scale.
  17. State your level of commitment to your exercise/fitness program goals in question 15.
  18. If applicable, indicate your desired weight change in question 16.
  19. Finally, print and sign your name at the bottom of the form, affirming your commitment to your health and fitness goals.
  20. After reviewing your responses, save the changes made to the form, and you can choose to download, print, or share your completed questionnaire.

Start completing your MO Trinity Wellness Exercise & Health History Attitude Questionnaire online today!

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