The aim of the following questionnaire is to measure your nutritional habits, if you like physical activity and your over-all well-being. Please note that there are no right or wrong answers.

When answering the questionnaire, please do the following:

 If you agree with a statement, mark the following face:

If you are uncertain about how you feel, mark the following face:

If you disagree with a statement, mark the following face:

By completing this form, you consent to the collection and processing of your personal information (if provided) in accordance with the Protection of Personal Information Act (POPIA). Your information will be used only for the purposes of wellness assessment, feedback, and related communication. It will not be shared with any third parties without your consent, unless required by law.