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14. Do the changes that you have identified interfere with your personal/family life?<br />

1. ( ) never 3. ( ) almost always<br />

2. ( ) always 4. ( ) sometimes 5. ( ) I don´t know<br />

YOUR COMMENTS ON THIS SESSION ARE GREATLY APPRECIATED:<br />

PHYSICAL ACTIVITY<br />

15. Do you do any kind of physical activity?<br />

1. ( ) YES 2. ( ) NO<br />

If the answer to question 15 was NO and if you got<br />

interested in our research, please answer the question on<br />

the last page.<br />

16. If the answer to question 15 was YES, write in the chart below each activity that you<br />

practice, for how many months you have been practicing it, how many times per<br />

week and the number of minutes per session:<br />

Physical Activities Number of months Times per week Number of minutes<br />

per session<br />

1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

17. How intensely do you practice each physical activity? <strong>In</strong> the chart below, please,<br />

enter the name of the activities you practice and check the intensity degree to which<br />

you practice each one of them taking into consideration the following scale:<br />

1. low intensity (least effort)<br />

2. medium<br />

3. high<br />

4. maximum intensity (exhaustion)<br />

200

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