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General Health & Daily Lifestyle Habits

  1. How would you rate your overall health?

Single choice
Excellent
Good
Fair
Poor
  1. How many days per week do you feel physically active?

Single choice
0–1 days
2–3 days
4–5 days
6–7 days
  1. On average, how many hours of sleep do you get per night?

Single choice
Less than 5 hours
5–6 hours
7–8 hours
9+ hours
  1. How often do you eat breakfast?

Single choice
Every day
A few times a week
Rarely
Never
  1. How many glasses of water do you drink daily?

Single choice
1–3
4–6
7–9
10+
  1. How often do you consume sugary drinks (soda, energy drinks)?

Single choice
Daily
A few times a week
Rarely
Never
  1. How would you describe your stress levels?

Single choice
Very low
Moderate
High
Very high
  1. Do you smoke or use nicotine products?

Single choice
No, never
Quit already
Occasionally
Regularly
  1. How often do you consume alcohol?

Single choice
Never
Occasionally
Monthly
Weekly or more
  1. How frequently do you go for health check-ups (doctor/dentist)?

Single choice
Once a year or more
Every few years
Only when sick
Never
  1. Do you track any health metrics (steps, sleep, heart rate)?

Single choice
Yes, regularly
Occasionally
Tried before
Never
  1. How often do you cook meals at home?

Single choice
Daily
Few times a week
Rarely
Never
  1. How would you rate your energy levels throughout the day?

Single choice
Very high
Moderate
Low
Very low
  1. Do you set any personal health goals (weight, steps, nutrition)?

Single choice
Yes, actively
Sometimes
Not currently
Never
  1. Do you feel you have a balanced work-life-health routine?

Single choice
Yes
Mostly
Sometimes
Not at all
  1. How often do you walk or choose stairs instead of transport/lift?

Single choice
Every day
A few times a week
Rarely
Never
  1. Do you feel informed about basic health and wellness practices?

Single choice
Yes, very informed
Somewhat
Not really
Not at all
  1. How often do you take breaks to rest or relax during the day?

Single choice
Regularly
Sometimes
Rarely
Never
  1. Do you engage in any relaxation activities (stretching, meditation)?

Single choice
Yes, daily
Occasionally
Rarely
Never
  1. Overall, how satisfied are you with your current lifestyle habits?

Single choice
Very satisfied
Satisfied
Unsure
Unsatisfied

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