DREAM Score Questionnaire: Page 3 Name* First Last I do cardiovascular exercise / activities for at least 25 minutes each time... (may include running, biking, jogging, stair climbing, elliptical, Yoga, aerobics class, step class, etc…)*NeverOnce in a blue moonLess than once per week1-2 times per week3-4 times per weekMore than 5 times per weekI exercise with weights for at least 20 minutes each time...*NeverOnce in a blue moonLess than once per week1-2 times per week3-4 times per weekMore than 5 times per weekI do at least 15 minutes of high intensity interval training each week.*I don't do any exerciseStrongly disagreeDisagreeNeutralAgreeStrongly agreeI am an active person.*Strongly disagreeDisagreeNeutralAgreeStrongly agreeI stretch my body...*NeverRarelyOnce per weekMultiple times per weekDailyI choose to take the stairs rather than the elevator or escalator when reasonable (approximately 4 flights or fewer)*Strongly disagreeDisagreeNeutralAgreeStrongly agreeAt least one time per month, I participate in recreational activities such as skiing, snowboarding, rock climbing, dancing, hiking, golf, tennis, racquetball, football, basketball, soccer, baseball, softball, etc…)*Strongly disagreeDisagreeNeutralAgreeStrongly agreeWhen exercising, I monitor my heart rate to ensure that I am working within my target zone.*I don't exerciseStrongly disagreeDisagreeNeutralAgreeStrongly agreeWhen I'm on vacation, I find ways to workout or stay active.*I'm not active, everStrongly disagreeDisagreeNeutralAgreeStrongly agreeIf I were dropped off by a spaceship on a planet that has gravity, I would be able to find a way to stay in shape*Strongly disagreeDisagreeNeutralAgreeStrongly agree Δ
