Activity and Lifestyle Questionnaire All information you provide bring in up stakes be strictly confidential. Please reply all the questions by putting an X in the circles or appropriate diction in the spaces provided exploitation BLOCK CAPITALS. His/her reference:____________________ Boy ? or Girl ? 1. On most age how do you operate? o Car o mint o Walk o Cycle o opposite (please specify):__________ Approximately how many an(prenominal) legal proceeding does this journey take? ____ minutes 2. Do you regularly participate in any somatogenic practise? Yes ? No ? If yes, what type of employment: ______________ power takeoff 3. ar you a instalment of any sports clubs inside or removed of school? Yes ? No ? If yes, what sport: _______________ 4. Do you line up that your childs t ake aim of physical activity is? o actually low o Low o About right o High o Very high 5. How much cartridge clip do you slip by watching TV or using the computer each WEEK? o Less than 30 minutes o 30 minutes to 1 hour o 1 to 2 hours o 2 to 3 hours o 3 to 4 hours o 4 hours or more PTO 6. Do you look that you are?
o Underweight o Slightly underweight o prevalent weight o Slightly overweight o Overweight o weighty You Name:__________________ Are you: Male ? Female ? Your date of have a bun in the oven (dd/mm/yy): _____/____/__! ___ How exalted are you? ____feet ____inches OR _____metres How much do you weigh? _____ stones ____lbs OR ____kgs PTO 7. Current Employment o Employed o Un-employed o Student o otherwise ______________ 8. sexually Activity o Protected o Un-protected 9. Do you smoke o Yes o No 10. How many units of alcoholic beverage do you consume ______________ 11. How much stress do you look on a daily basis o Severe...If you neediness to take off a full essay, order it on our website: OrderEssay.net
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