Q01
Message
All templates
Gym Habits and Fitness Goals of GLP-1 Medication Users
Explores how people taking GLP-1 medications (semaglutide, tirzepatide, and similar) approach exercise — workout frequency, strength training, muscle-preservation concerns, and goal prioritization — with an AI follow-up that digs into the reasoning behind their top fitness goal or biggest barrier. Built for gyms, fitness apps, and health researchers studying this fast-growing population.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
14 questions · ~7 min
Q02
Multiple ChoiceRequired
Which best describes your current situation with GLP-1 medications (e.g., Ozempic, Wegovy, Mounjaro, Zepbound)?
- Currently taking a GLP-1 medication
- Previously took one but stopped
- Considering starting one, haven't yet
Q03
NumberRequired
In the last 30 days, on average how many days per week did you do any form of exercise (cardio, strength training, walking, etc.)?
Q04
Multiple ChoiceRequired
Since starting (or considering) a GLP-1 medication, what has become your primary fitness goal?
- Lose fat while preserving muscle
- Build muscle or strength
- Improve cardio endurance
- General health maintenance
- I don't have a specific fitness goal
Q05
MatrixRequired
How important is each of the following to you right now?
5 rows × 5 columns
- Maintaining muscle mass
- Increasing strength
- Improving cardio fitness
- Flexibility and mobility
- Daily energy levels
Columns: Not important · Somewhat important · Important · Very important · Essential
Q06
Rating ScaleRequired
How confident are you that your current exercise routine can preserve muscle mass while you lose weight?
Range: 1 – 5
Min:Not confident at allMax:Extremely confident
Q07
Best–Worst Trade-off (MaxDiff)Required
Looking at these fitness-related outcomes, which matters most to you and which matters least?
- Preserving muscle mass
- Increasing strength
- Losing body fat
- Improving energy and stamina
- Improving mobility and flexibility
- Reducing joint or body pain
- Improving mood and mental health
Pick best & worst per setBest:Matters mostWorst:Matters least
Q08
Multiple Choice
In the last 30 days, what has made it harder to exercise consistently? Select all that apply.
- Nausea or GI side effects
- Low energy or fatigue
- Muscle weakness
- Lack of time
- Lack of motivation
- Cost of gym or equipment
- Not knowing what routine to follow
Q09
AI Interview
Explore the reasoning behind this respondent's top fitness goal and biggest exercise barrier. If muscle preservation or strength ranked highest, ask what specifically they're doing (or trying) to protect muscle while on the medication and whether they feel it's working. If a side effect like nausea or fatigue was selected as a barrier, probe how it actually changes their workout that week — skipped sessions, shorter workouts, lower intensity — versus how they wish it worked. If they have no specific fitness goal, ask what would make one feel worth setting.
Q10
Multiple Choice
Do you currently use a trainer, coach, or program specifically designed for people on GLP-1 medications?
- Yes, a personal trainer or coach
- Yes, an app or online program
- No, but I'd be interested
- No, and I'm not interested
Q11
Message
Almost done — just a couple of quick optional questions about you.
Q12
Multiple Choice
Which age range do you fall into?
- 18-24
- 25-34
- 35-44
- 45-54
- 55-64
- 65+
- Prefer not to say
Q13
Multiple Choice
How do you describe your gender?
- Woman
- Man
- Non-binary
- Prefer to self-describe
- Prefer not to say
Q14
Message
Thank you for sharing your experience! Your answers will help gyms and fitness programs build better support for people on GLP-1 medications.
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Purpose-built for GLP-1 medication users (Ozempic, Wegovy, Mounjaro/Zepbound-type drugs), starting with a screening question on current medication status — something none of these generic fitness templates ask about
- Combines structured measurement (weekly exercise frequency, a matrix on current priorities, a confidence rating on muscle preservation, and a max-diff ranking of fitness outcomes) with an adaptive AI follow-up interview that digs into the reasoning behind each respondent's top goal or biggest barrier
- Captures real-world barriers to consistency and trainer/coach usage specific to this population, then closes with demographics for segmenting gyms, fitness apps, or GLP-1 cohorts in the auto-generated report
- Every AI probe uses a transparent, reviewable prompt rather than a black-box question flow
Jotform
Boxing and Fitness Client Assessment Form TemplateThis is a boxing-gym client intake form, not a research survey, and has no connection to GLP-1 medications or medication-driven exercise behavior. It's useful as a generic fitness-assessment starting point but would need heavy rebuilding to study this population. Best viewed as a form-building template rather than a fielded research instrument.
What it does well
- Easy drag-and-drop customization typical of Jotform's form builder
- Likely includes standard intake fields (goals, injuries, contact info) useful for gym onboarding
- Free to start, quick to deploy for a single gym's client paperwork
Where it falls short
- No mention of GLP-1 medications or medication-specific fitness/muscle-preservation questions
- Static question set with no adaptive follow-up probing into a respondent's reasoning
- No automated quality scoring or research-grade reporting — built for intake, not analysis
SurveySparrow
Fitness Client Intake Form TemplateA generic conversational intake form for onboarding fitness clients, not a research survey and not tailored to GLP-1 users or their specific exercise concerns. It covers general fitness background but has no medication-related questions or goal-prioritization tools. Useful for trainers signing up new members, less so for studying this population.
What it does well
- Conversational, chat-style question flow that's approachable for respondents
- Likely mobile-friendly and quick to complete for basic intake
- Positioned for fitness businesses, so terminology/fields are gym-relevant
Where it falls short
- No questions on GLP-1 medications, muscle preservation, or medication-driven behavior change
- No adaptive AI interview to explore why a client prioritizes a given goal or faces a given barrier
- No max-diff or matrix-style prioritization tools, and no automated per-response quality scoring
Typeform
Fitness Assessment Form TemplateA general-purpose fitness assessment template with Typeform's typical clean, conversational design, aimed at trainers or apps assessing a client's baseline fitness. It is not tailored to GLP-1 medication users and doesn't address muscle-preservation concerns or goal-prioritization tradeoffs specific to this group. It's a static intake form rather than a research instrument with follow-up probing.
What it does well
- Polished, engaging one-question-at-a-time interface Typeform is known for
- Broadly applicable to any fitness setting, easy for gyms/apps to adopt quickly
- Simple to brand and embed on a website or app
Where it falls short
- No GLP-1-specific screening, barrier, or muscle-preservation questions
- No adaptive AI follow-up interview — respondents can't be probed further on their stated goals or barriers
- No built-in ranking/tradeoff tool (e.g., max-diff) or automated quality scoring for open responses
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.