Join 12-week exercise study on short movement breaks
Please answer all the questions to join this research study. Your answers are kept confidential and will not be shared with anyone except the research team.
1. Name
*
First Name
Last Name
2. Email
*
example@example.com
3. Phone Number
*
-
Area Code
Phone Number
4. Age:
*
Please enter your age in years.
5. Which research site are you able to visit?
*
McMaster University, Hamilton, ON
The University of British Columbia, Kelowna, BC
Neither
6. Do you identify as being of Asian or Southeast Asian origin? This affects the BMI requirement.
*
Yes
No
7. Do you know your waist circumference or your BMI?
*
I know my BMI or I will calculate it now.
I know my waist circumference
I know both my BMI and waist circumference
8. Is your waist circumference above 102 cm / 40 inches for males, or 88 cm / 35 inches for females? :
Yes
No
8. Is your waist circumference above 90 cm / 35 inches for males, or 80 cm / 31 inches for females? :
Yes
No
9. Is your BMI between 30 to 45 ? BMI is calculated using your weight and height. Calculate your BMI here: https://www.cdc.gov/bmi/adult-calculator/index.html
*
Yes
No
10a. Do you currently engage in a structured exercise program of moderate intensity or more?
*
Yes (For example jogging, cycling, spin class)
No (for example walking the dog, yoga, cleaning the house, gardening)
10b. How many times per week do you engage in these structured exercise programs?
More than twice per week
Less than twice per week
11. Are you diagnosed with any of the following? Please select all that apply.
*
Type 2 Diabetes
Coronary artery disease
Heart failure
None of the above
12. Do any of the following apply to you? Please select all that apply.
*
I’m pregnant, or planning to be within 4 months.
I smoke cigarettes regularly
None of the above
Result
*
Pass
Fail
source
bmi pass
waist pass
waist or bmi pass
area
Wayturn contact email
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