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Fitness & Nutrition Questionnaire
Hello there! We are part-time UCD students and we would be very grateful if you could fill in this short questionnaire (takes less than 5 minutes!) and tell us a bit about your fitness and nutrition routine, which would help us to understand your fitness and nutritional goals in order to validate our initial startup idea. Thank you so much for your time and let's stay fit and healthy!
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* Indicates required question
1. Gender
Male
Female
Prefer not to say
Clear selection
2. Age group
18 - 24
25 - 30
31 - 35
36 - 41
42- 50
50+
Clear selection
3. Your location
Dublin city centre
South Dublin
North Dublin
County Dublin
Other:
Clear selection
4. Do you have a clear fitness goal?
*
Yes
No
Not sure
5. On a scale of 1 – 10, where 10 is highest, how serious are you about achieving your goals?
1
2
3
4
5
6
7
8
9
10
Clear selection
6. Please select your exercise type
*
Please select all that apply
Cardiovascular (Aerobics, boxing, football, dancing, etc.)
Strength (Crunches, kettlebell, squats, shoulder press, etc.)
Yoga
Pilates
Martial Arts
Swimming
Dancing
I am not exercising
Other:
Required
7. Are you satisfied with your fitness results?
Yes
No
I am not exercising
Clear selection
8. What keeps you from reaching your fitness goals?
*
Time constraints
Lack of motivation
No fitness partner
No fitness plan
Can not afford fitness courses/gym membership
Hard to follow a healthy diet
I don't have a fitness goal
Other:
Required
9. Do you have a nutrition plan?
*
Yes
No
Other:
10. If yes, do you find it difficult to follow?
Yes
No
Not applicable
Clear selection
11. If yes, what situations make it hardest for you to stick with your nutrition plan/requirements?
Dinner with friends
Nights out
Shopping at supermarket
Having meals at work
Other:
12. Are you attempting to improve your health through any of the below?
*
Please check all that apply
Watch my food choices
Physical activity
Getting enough sleep
Not trying to improve my health
Other:
Required
13. In your perception, do you eat healthy?
*
Always
Most of the times
About half of the time
Rarely
Other:
14. How many times a week do you eat out?
*
Once a week
2 - 3 times a week
4+ times a week
Everyday
15. How many times a week do you eat at home?
*
Once a week
2 - 3 times a week
4 - 5 times a week
5+ times a week
Other:
16. How important availability of healthy options are to you when choosing a place to eat or buy groceries?
*
Critical
Very important
Somewhat important
Not important
Other:
17. What criteria are important to you when you choose a place to eat?
*
Please check all that apply
Variety of choice
Quality of food
Healthy options avaliable
Value for money
Location
Friends recommendation
Other:
Required
18. What food is healthy in your perception?
*
Low in fats
Low in carbohydrates
Low in salt
Low in sugars
Unprocessed foods
Other:
Required
19. Which of the following Apps or websites, if any, do you use on a daily basis?
*
Fitness, health or food related
Foursquare
TripAdvisor
Yelp
MenuPages.ie
None of the above
Other:
Required
20. Do you have any food requirements?
*
Vegatarian
Vegan
Paleo
Kosher
Halal
Non-lactose
Diabetic
Nut or Peanut free
Gluten Free
None
Other:
Required
21. If you want to lead a healthier lifestyle, where do you need more improvements? What is an area you struggle with?
*
Your answer
22. What tools would help you to follow your health, fitness and nutritional goals and needs?
*
Nutrition plan maker
Healthy restaurants, shops and markets recomendations
Local gym/fitness courses or personal trainer recommendations
Local sports clothing/gear finder
Local running routes finder
Workouts recommendations
Motivational programs
Other:
Required
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