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Mens Health Survey
Please only provide information you are comfortable sharing.
A summary of data collected in this survey will be used for future articles and newsletters.
We value your privacy and all data is
submitted anonymously and is not shared outside of The Body Mechanics Team.
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What is your age?
Under 12 years
12 - 17 years
18 - 24 years
25 - 34 years
35 - 44 years
45 - 54 years
55 - 64 years
65 - 74 years
75 years or older
Clear selection
To which gender identity do you most identify?
*
Female
Male
Transgender Female
Transgender Male
Gender Variant/Non-conforming
Other
Prefer not to say
What is your Occupation?
Your answer
Are you a parent? If yes, what is the age range of your children?
Choose as many as you like
0 - 3
3 - 6
7 - 11
12 - 15
16 - 20
21 - 25
25 +
What hobbies do you have?
(not sport related as we will ask about sports later)
Your answer
Which sports do you take part in?
Choose as many as you like
Football
Swimming
Cycling
Martial Arts
Running
Racket Sports
Rugby
Other:
Do you follow a particular Nutrition Programme/Diet? If so, which?
Choose as many as you like
Vegetarian
Vegan
Pescatarian
Omnivore
Keto
Dairy Free
Gluten Free
Other:
Do you follow general healthy eating principles?
Choose as many as you like
5 a day
2 litres of water
Balanced protein, fat and carbs
Do you have any current health issues? If so, can you give us a summary of what these are?
Choose as many as you like
Muscular/Skeletal (e.g. muscle strain, arthritis, sprains)
Mental Health (e.g. migraine, stress, depression, anxiety)
Circulatory/Cardiovascular (e.g. heart, blood pressure, cellulite, cold extremities)
Digestive/Urinary (e.g. constipation, bloating, kidney, liver, gall bladder, urination, stomach)
Immune/Lymphatic (e.g. colds, sore throat chest, sinuses)
Allergies/Intolerances
Other:
How do you manage your health issues? Do you have any specific management techniques?
Your answer
What are the benefits associated with those management techniques?
Your answer
What is the biggest stressor in your life currently?
Your answer
Do you have a health and wellbeing goal? If so, what is it?
Your answer
In your opinion, what are the 3 main pressures that men are subjected to? How do you think these can be alleviated? Give brief details.
Your answer
Do you think there has been a change in the perception of ‘masculinity?’ If so, give brief details.
Your answer
What do you think has been the single most positive change to men’s health in recent years?
Your answer
Thank you for your participation
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