ActiveSisters – Muslim women in sports
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How Active are you?
If you are human, leave this field blank.
Name
Age
*
Are you exercising?
*
Yes
No
How do you feel about your current level of fitness
*
Good
Bad
Could be better
How often
*
Daily
Weekly
Monthly
Yearly
Never
What motivated you to excersise?
*
Endurance/Stamina
Back Problems
Combat Cholesterol
Body Weight Loss
Reduce Body Fat
Re-Shaping Toning
Flexibility
Speed / Power
Body Weight Gain
Reduce Stress
Improve Self Esteem
Injury Rehabilitation
Reduce Blood Pressure
Increase Muscle Mass
other
What will STOP you to excersise?
*
I have an injury or a disability
I am too fat
I am too old
I am not the sporty type
I am too embarrassed to train
I need to relax and rest in my spare time
I have not got the energy
I would never keep it up
I don't enjoy physical activity
I don't have time
I have young children to look after
There is no one to train with
I can't afford it
There are no suitable facilities nearby
Other
Which part of your body would you like to work on?
*
Arms
Legs
Stomach
Chest
Back
Other
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