Lifestyle Survey Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Your Height *Your Weight *Your Age *16 - 2526 - 3031 - 40Your Sex *MaleFemaleOtherDo you smoke? *How often do you have a drink containing alcohol? *NeverMonthly or Less2-4 times a monthDo you do any exercise/physical activity? *YesNoDo you eat fruit and/or vegetables? *YesNoDo you feel you have someone to talk to if you have a problem or are in a situation that is worrying or concerning you (e.g family, friend, Doctor, colleague)? *YesNoHave you taken part in a national or local campaign in the last year to improve your health (for example: joined one of the on-site fitness classes, enrolled at a gym, walk to work month, Dry January or Stoptober)? *YesNoHave you increased your levels of walking in the last year? *YesNoHow do you travel to work? *WalkCycleDriveAre you aware of opportunities to take part in mindfulness initiatives (For example: mindfulness study days, stress management course, breathing exercise...)? *YesNo Height Doctor, family, Have you taken part in any mindfulness opportunities? *YesNoDo you have a long term, stable medical condition that requires regular medicine in the short to medium term? *YesNoSUBMIT YOUR ANSWERS
