EXERCISE PROFILE



Exercise Profile

Are you currently involved in a regular exercise program?

ο Yes ο No

Do you regularly walk or run one or more miles continuously?

ο Yes ο No

If yes, average number of miles covered per workout day:

Average time per mile? (minutes and seconds) ο Unsure

Do you practice weight lifting or home calisthenics?

ο Yes ο No

Are you involved in an aerobic or cardiovascular training program?

ο Yes ο No

Do you frequently participate in competitive sports?

ο Yes ο No

If yes, check those sports you participate in:

ο Golf ο Basketball ο Swimming ο Volleyball

ο Tennis ο Football ο Handball ο Baseball

ο Racquetball ο Soccer ο Track ο Road racing

Other (s):

Average time per month:

In which of the following high school or college athletics did you participate?

ο Track ο Football ο Swimming ο Basketball

ο Tennis ο Baseball ο Wrestling ο Soccer

ο Cross Country ο Gymnastics

Other (s): ________________________________________________________

What activities would you prefer in a regular exercise program for yourself?

ο Walking and / or running ο Tennis ο Bicycling (outside)

ο Stationary running (treadmill) ο Swimming ο Jumping rope

ο Handball, squash, racquetball ο Basketball ο Stationary cycling

Other (s):

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