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Study Pre-Screening
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* Indicates required question
1. First name:
*
Your answer
2. Last name:
*
Your answer
3. Sex
*
Choose
Male
Female
4. Email address:
*
Your answer
5. What is your current age?
*
Your answer
6. What is the primary exercise that you perform?
*
Running
Cycling
Resistance
Swimming
Other:
7. What secondary exercises do you perform?
Select all that apply.
Running
Cycling
Resistance
Swimming
Other:
8. How many years have you been exercising regularly at the current intensity or higher?
*
Please include numerical values only.
Your answer
9. On average, how many days per week do you exercise?
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Once a week.
2-4 days per week.
5-7 days per week.
10. On average, how many hours per week do you perform aerobic endurance exercise? This may include (but is not limited to) running, cycling, swimming.
*
Please do not include letters. Include only numerical values (Ex.: 7 ).
Your answer
11. On average, how many hours per week do you perform resistance exercise? This may include (but is not limited to) activities like weight training.
*
Please do not include letters. Include only numerical values (Ex.: 5 ).
Your answer
12. For runners, indicate the length of the longest running competition performed since January 1st 2014.
Numbers are in Kilometers
10 or less.
11 to 15.
16 to 20.
21 to 30.
more than 30.
Clear selection
13. When was this race held?
MM
/
DD
/
YYYY
14. For cyclists, indicate the length of the longest competition performed since January 1st 2014.
Numbers are in Kilometers
30 or less.
31 to 50.
51 to 80.
81 to 100.
more than 100.
Clear selection
15. When was this race held?
MM
/
DD
/
YYYY
16. What was your longest workout in the past 2 weeks?
*
Please do not include letters. Include only numerical values (Ex.: 5 ).
30min.
60min.
120min.
150min.
Other:
17. How many drinks (alcoholic beverages) do you consume each week?
*
1 Drink = beer bottle: 12 oz, OR glass of wine: 5 oz, OR liqour 1.5 oz
0 drinks per week.
1-7 drinks per week.
8-14 drinks per week.
More than 14 drinks per week.
18. Do you currently smoke?
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Yes.
No.
19. Have you been diagnosed with any of the following medical conditions?
*
Atrial Fibrillation (AF).
Any form of structural heart disease.
Hypertension (High Blood Pressure).
Diabetes.
Sleep Apnea
Kidney Disease
None of the above.
Other:
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