Question to Athlete: How many days each week do you exercise for at least 30 minutes? no days 4 days □ □ 1 day 5 days □ □ 2 days 6 days □ □ 3 days 7 days □ □ Do you exercise outside Special Olympics Training? Yes □ No □ If Yes, what do you do (select all that apply)? Weights Sports □ □ Run/Jog Exercise DVD, Wii □ □ Walk Job □ □ Dance Other □ □ If no, what is the reason? (Select all that apply) No interest No one to do it with □ □ Do not know how No time □ □ No transportation No place to exercise □ □ No money Other □ □ Physically unable □ Television and Video Games
Question to Athlete: How many days each week do you exercise for at least 30 minutes? □ no days □ 1 day □ 2 days □ 3 days □ 4 days □ 5 days □ 6 days □ 7 days Do you exercise outside Special Olympics Training? □ Yes □ No If Yes, what do you do (select all that apply)? □ Weights □ Run/Jog □ Walk □ Dance □ Sports □ Exercise DVD, Wii □ Job □ Other If no, what is the reason? (Select all that apply) □ No interest □ Do not know how □ No transportation □ No money □ Physically unable □ No one to do it with □ No time □ No place to exercise □ Other Television and Video Games
Healthy-Habits-Template.docx