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Diet and Exercise Habits & Motivation Survey

Captures real-world eating and activity patterns, what's blocking consistency, and what actually keeps people motivated — for wellness programs, coaches, and fitness apps designing support that matches how people actually live. An AI follow-up interview digs into the specific barrier behind someone's confidence score instead of settling for a generic checkbox.

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샘플 질문

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질문 13개 · 약 7분
Q01
메시지

Thanks for taking a few minutes to share your diet and exercise habits! Your responses are completely confidential and anonymized. There are no right answers here — the more honest, the more useful this is for building support that actually fits your life. About 5 minutes.

Q02
객관식필수

In the last 7 days, on how many days did you do at least 7 minutes of physical activity (including brisk walking)?

  • 0 days
  • 1-2 days
  • 3-4 days
  • 5-6 days
  • Every day
Q03
객관식

Which types of exercise have you done in the last 30 days?

  • Cardio (running, cycling, swimming)
  • Strength or resistance training
  • Yoga, Pilates, or flexibility work
  • Team or recreational sports
  • Walking as exercise
Q04
매트릭스필수

How often do the following apply to your typical week?

5개 행 × 5개 열
  • I eat vegetables or fruit with most meals
  • I plan or prep meals in advance
  • I limit sugary drinks and processed snacks
  • I eat without distractions like a screen
  • I get enough sleep to support my activity level
열: Never · Rarely · Sometimes · Often · Always
Q05
의견 척도필수

How confident are you that you can stick to healthy eating and exercise habits over the next 3 months?

척도: 1 – 10
최소:Not at all confident최대:Extremely confident
Q06
최선·최악 선택형(MaxDiff)

For each set, pick what would help you stick to a diet and exercise routine most, and what would help least.

  • More free time in my schedule
  • More energy or less fatigue
  • Simple, ready-made meal plans
  • A workout buddy or community support
  • Clear tracking of my progress
  • Affordable access to healthy food
  • Professional coaching or guidance
세트별 최선·최악 선택최선:Would help most최악:Would help least
Q07
점수 배분

Thinking about what gets in the way, distribute 100 points across these barriers based on how much each one holds you back.

  • Lack of time
  • Cost of healthy food or gym access
  • Lack of motivation
  • Injury or health limitations
  • Lack of knowledge on what to do
  • Lack of support from others
100점 배분
Q08
평점 척도필수

How satisfied are you with your current fitness level?

범위: 1 – 5
최소:Very dissatisfied최대:Very satisfied
Q09
AI 인터뷰

Explore the reasoning behind the respondent's confidence score for sticking to healthy habits over the next 3 months. If confidence was low or middling, identify the single biggest real-world barrier (time, cost, motivation, knowledge, support, or health limitation) and get a concrete recent example of it happening. If confidence was high, probe what specific system or habit is making it work so it can be reused with others.

Q10
메시지

That wraps up the survey portion — just two quick optional questions left about you.

Q11
객관식

Which age range do you fall into?

  • Under 18
  • 18-24
  • 25-34
  • 35-44
  • 45-54
  • 55-64
  • 65+
  • Prefer not to say
Q12
객관식

What is your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q13
메시지

Thank you for sharing this! Your responses will be used to shape more realistic diet and exercise support — no generic plans, just habits and barriers that match real life.

포함된 기능

  • AI 후속 질문

    정형화된 설문이 놓치는 세부 내용을, 주관식 답변에 맞춰 AI가 심층 질문으로 끌어냅니다.

  • 주의력 확인 장치

    성의 없는 답변과 저품질 응답자를 걸러내는 내장 안전장치입니다.

  • AI가 작성한 문안

    문구, 질문 순서, 분기 로직까지 AI가 연구 목표에 맞춰 작성합니다.

  • 자동 리포트

    응답이 모이면 주요 주제, 인용문, 이해하기 쉬운 요약이 자동으로 작성됩니다.

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이 템플릿을 선택하는 이유

  • Goes beyond a checkbox confidence score with an AI follow-up interview that digs into the specific barrier behind someone's rating, in the respondent's own words
  • Uses a constant-sum question to force respondents to weigh and distribute barriers rather than just picking one, giving more nuanced prioritization data
  • Pairs a max-diff exercise (what would actually help someone stick to a routine) with a weekly-frequency matrix to capture both stated motivators and real behavioral patterns
  • Frames the whole survey conversationally with chat-style intro/closing messages, making it feel like a guided conversation rather than a cold form

Jotform

Diet and exercise Form Template

This is a static, drag-and-drop form template rather than a survey instrument designed for behavioral research — it's built for quick data capture (e.g., logging habits) and easy customization. It's fielding-ready but light on structured question design like matrix or ranking logic. Good for simple intake, less suited to uncovering motivational nuance.

잘하는 점

  • Highly customizable form builder
  • Fast to deploy and embed
  • Simple, familiar Jotform ecosystem integrations

아쉬운 점

  • No adaptive follow-up questioning — respondents get the same static fields regardless of answers
  • No mechanism to explore the 'why' behind a rating or barrier
  • No published methodology or scoring transparency

SurveyMonkey

Exercise, Fitness, And Diet Survey Template

A standard fielding-ready survey template from an established survey platform, likely covering frequency and satisfaction questions similar in spirit to ours. It benefits from SurveyMonkey's broad distribution and analytics tools, but the question set is fixed once launched. No indication of AI-driven probing into individual responses.

잘하는 점

  • Established survey distribution and panel options
  • Built-in analytics and reporting dashboard
  • Familiar, trusted platform for respondents

아쉬운 점

  • Static question flow with no adaptive AI interviewing to probe motivation or barriers
  • No voice-based interview option
  • No per-response quality scoring

SurveySparrow

Diet and Exercise Survey Template

SurveySparrow's conversational, chat-style survey format makes this template feel more engaging than a plain form, and it's ready to field as-is. However, the conversational feel is a UI layer over pre-scripted questions, not true adaptive follow-up based on response content.

잘하는 점

  • Conversational, chat-like question presentation
  • Mobile-friendly, engaging UI
  • Ready-to-use healthcare template category

아쉬운 점

  • No AI-generated follow-up questions tailored to individual answers
  • No voice interview or screen-share task capability
  • No transparent prompt or scoring methodology published

Typeform

Health and Diet Survey Template

Typeform's one-question-at-a-time format is visually polished and fielding-ready, well-suited for casual respondent engagement. Logic branching can route respondents based on prior answers, but this is rule-based branching, not open-ended AI probing of the reasoning behind a score.

잘하는 점

  • Clean, engaging one-question-per-screen design
  • Conditional logic branching between questions
  • Strong brand reputation for respondent-friendly surveys

아쉬운 점

  • Branching logic is rule-based, not adaptive AI conversation that digs into open-ended reasoning
  • No voice AI interview mode
  • No automated per-response quality scoring or auto-generated qualitative reports

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