1. Please specify your gender. Male Female
2.
Which age group do you belong to? Below 20 21 to 30 31 to 40 41 to 60 60 above
3. Do you believe doing exercise regularly can help people improve their confidence? Yes No
4. How would you rate your health? Excellent Very good Good Fair Poor
5. When was your last time do exercise? Less than six months ago Less than one year ago Over a year ago Over two years ago Never
6. How many times have you do exercise every week? Never Once Twice Thrice More than 3 times
7. Did you face any difficulty in choosing a suitable exercise? None Very few Few Many
8. Where would you like to do exercise? At a Gym At home Outside the building Other, please specify
9. Are you satisfied with your exercise habits? Yes No
10. Would you like to do exercise with a coach? Yes No
11. What are the barriers you face in doing exercise regularly? I have no time, I am too busy. I am perfect, I don't need to do exercise at all. I can't find a good place to do exercise. It is boring to do exercise by myself, nobody can go with me. I can't see any change by doing exercise.
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