Erasmus+ KA229 Healthy Bodies! Healthy Minds!

2019-1-RO01-KA229-063144

Physical Health Questionnaire

1.Your gender
• Male
• Female
2. How old are you?
• under 12
• 12
• 13
• 14
• 15
• 16
• 17
• 18 or older
3. How many times a week do you do sports?
• I don't do sports
• 1-3 times a week
• 1-2 times a week
• 3-4 times a week
• More than 4 times a week
4. How long does your one workout take on average?
• I don't do sports
• Less than 30 min
• Less than an hour
• More than an hour
• More than two hours
5. How do you rate your physical fitness?
• Very good
• Good
• Average
• Low
• Very low
6. Which of the sports you do most often?
• Running
• Gymnastics
• Cycling
• Martial arts
• Athletics
• Skiing
• Handball
• Ice-skating
• Canoeing
• Swimming
• Horse riding
• Tennis
• Football
• Dancing
• Weightlifting
• Basketball
• Volleyball
• Snowboarding
• Others, what?
7. Determine to what extent the reasons listed below are important to you in undertaking
physical activity. (very low/ low/no matter/ important/ very important)
• spending free time
 • losing weight
• shaping the figure and proper body posture
• mental rest
• spending free time
• losing weight
• shaping the figure and proper body posture
• mental rest
8. In which places do you exercise the most?
• Gym
• At fresh air
• On the pitch
• At a swimming pool
• On the beach
• In the forest/park
• At school
• In a sports club
9. Do you think your school is well equipped in terms of equipment and facilities?
• Yes
• Rather yes
• Hard to say
• Rather no
• No
10. Do you perform medical tests checking your physical health beyond periods when you are
ill?
• Yes
• Only when I need a medical certificate (eg. for school, a sports club etc.)
• Sometimes
• No
11. Do you eat meals regularly?
 • Yes
• Rather yes
• Hard to say
• Rather not
• No
12. Is your diet balanced?
• Yes
• Rather yes
• Hard to say
• Rather no
• No
13. Do you drink enough water a day?
• Yes
• Rather yes
• Hard to say
• Rather not
• No
14. Do you pay attention to the calorific value and composition of the products you buy?
• Yes
• I only pay attention to the caloric value
• I only pay attention to the composition
• No
15. How many hours a day do you spend sleeping?
• More than 10 hours
• 8-10 hours
• 6-8 hours
• less than 6 hours