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Health and Fitness Questionnaire

Please place a tick in the boxes that align with your responses.

Demographic Data

Sex Male Female

Age group 12 - 14 15 – 17

1. Do you think healthy eating and your physical fitness goes hand in hand ?

Most definitely I don’t think so

2. How are you feeling about your health and wellbeing ?

Very healthy Average

3. What type of food do you consume /feed on daily?

Foods from the six food groups

Junk food and sugary beverages

4. How much water do you drink daily?

Lots of water

Hardly

5. How often do you eat fruits and vegetables?

Everyday

Once a week

None at all

6. What are your favourite drink choices?

Fresh fruit juices

Sodas

Strictly water

7. Do you like to exercise or take part in sporting activities?

Very much not so much not at all

8. Why do you play sports or engage in physical fitness?


To lose weight To keep fit/active

9. Have you noticed any differences in your physical performance after consuming beverages/food?

Yes No

10. Do you think it's important to eat before a physical activity

Yes it's important No it's not important

If your answer is “Yes” why is it important?

It gives you “energy to go”

It prevents you from feeling lightheaded

11. Do you agree that eating too much before an exercise can leave you feeling sluggish?

Yes I agree No I don’t agree

12. Before you engage in any physical activity, what do you drink?

Energy drinks …. Water……. Soda/Juice…

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