Online Health Questionnaire

Online health questionnaire is prepared by various health related sites where an individual can gauge how healthy he or she is. This evaluation is one of the best ways to gauge overall physical fitness of a person. In turn this kind of questionnaire helps an individual to analyze the level of modification in lifestyle he or she needs in order to gain better health.

Sample Online Health Questionnaire

Name: _____________________ Age: ______________ Sex: ____________

Write Yes or No or tick the suitable answer of these questions:

1)   Do you take heavy meal at your breakfast? _________

2)   Do you take equal amount of food on three meals namely breakfast, lunch and dinner? __________

3)   Do you drink at least eight glasses of water daily? _______

4)   Do you consume alcohol, nicotine and caffeine very often? _________

5)   Do you exercise or hit gym at least thrice a week? __________

6)   Do you have high cholesterol, blood sugar or blood pressure? __________

7)   Do you generally have

a. Loads of leafy vegetables           b. Plate full of meat

on your daily meal ?

8)   Do you avoid processed and refined foods that contain high preservatives? ________

If maximum of your answers are (YES) for question 4, 6 and 8 and (No) for question 1,2,3,5 then you need to change your lifestyle immediately before its too late

If maximum of your answers are (Yes) for question 1,2,3,5 and (No) for question 4, 6 and 8 then you will always be a healthy person as you have good habits.

Category: Online Questionnaire

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