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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