How often have you exercised in the past month?
5-6 x week
4-6 x week
2-3 x week
no exercise at all
How many hours have you slept each night on average over the past 7 nights?
less than 3 hours
more than 8
Rate the quality of your sleep on average over the past 7 nights
Scale of 1 being Very poor and 10 being Excellent
1 or 2
3 or 4
5 or 6
7 or 8
9 or 10
Rate your overall levels of stress in the past 7 days
No Stress at all
Rate your coping mechanisms of stress
Water intake per day on average over the last 7 days?
250ml (one cup) to 600ml per day
600ml-1L per day
1L-1.5L per day
1.5L-2L per day
more than 2L per day
Coffee intake shots on average per day over the last 7 days?
2 per day
3.1- 4 per day
4 per day
more than 4 per day
Alcohol intake standard drinks on average per sitting in the last month?
1 standard drink
2.1- 4.0 standard drinks
more than 6 standard drinks per sitting
Number of times breakfast consumed in the last 7 days
1 to 4 x per week
5 x per week
Number of times fast food/ takeaways have been consumed in the past 7 days (all meals)
On average over the past 7 days, how many hours per day do you sit at a desk at work? (take into account breaks where you walk/ stand)
Less than 6 hours
More than 6 hours
On average over the past 7 days, how many hours per day do you sit at home, not counting sleep? (take into account TV, Laptop, couch, meals)
less than 1 hour
more than 2 hours
Do you experience any back or neck stiffness whilst sitting at a desk?
Do you smoke? If so, how many cigarettes do you have per day on average?
No I don't smoke
1-5 per day
Did the Winter Warmer Program assist you stay focused on your health goals during the 8 week period?
Would you like to see anything implemented to further assist you on your health journey?
Thank you! We hope you have enjoyed the Winter Warmer Program! Bring on Spring!