BMI Survey Questionnaire Form
Please complete the BMI Survey Questionnaire Form to help us better understand general lifestyle and wellness patterns. All questions are required.
What is your age?
*
What is your gender?
*
Female
Male
Non-binary
Prefer not to say
What is your height? (in centimeters)
*
What is your weight? (in kilograms)
*
How would you rate your physical activity level?
*
Very low
Low
Moderate
High
Very high
How often do you consume fruits and vegetables?
*
Rarely
Sometimes
Often
Daily
How would you rate your overall well-being?
*
1
2
3
4
5
On a scale of 1 to 5, how satisfied are you with your current body weight?
*
Not satisfied
1
2
3
4
Very satisfied
5
1 is Not satisfied, 5 is Very satisfied
Please indicate your agreement with the following statement: "I have a good understanding of what BMI means."
*
Strongly disagree
1
2
3
4
Strongly agree
5
1 is Strongly disagree, 5 is Strongly agree
Do you believe BMI is a useful indicator of health?
*
Yes
No
Not sure
Submit Survey
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