Customer Lifestyle Habits Survey Template

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Customer Lifestyle Habits Survey Template

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Thank you for taking the time to participate in our survey. Your feedback is invaluable in helping us understand your lifestyle habits better, enabling us to enhance our offerings and serve you better. Please be assured that all responses will be kept confidential.

Section 1: Basic Information

*1.Age:

Under 18

18-24

25-34

35-44

45-54

55-64

65 and above

*2.Gender:

Male

Female

Prefer not to say

Other

*3.Location (City/State):

*4.Occupation:

Section 2: Lifestyle Habits

*5.How would you rate your overall health?

Excellent

Above Average

Average

Below Average

Very Poor

*6.How often do you engage in physical exercise?

Daily

Several times a week

Once a week

A few times a month

Rarely

Never

*7.What types of physical activities do you participate in? (Select all that apply) [Checkboxes]

Walking

Running/Jogging

Cycling

Gym Workouts

Yoga/Pilates

Team Sports

Other (please specify)

*8.On average, how many hours of sleep do you get per night?

Less than 5 hours

5-6 hours

7-8 hours

More than 8 hours

*9.How often do you consume alcohol?

Daily

Weekly

Monthly

Rarely

Never

*10.How often do you smoke or use tobacco products?

Daily

Weekly

Monthly

Rarely

Never

*11.How often do you eat out or order takeout?

Daily

Several times a week

Once a week

A few times a month

Rarely

Never

*12.How important is sustainability and eco-friendliness to you when purchasing products?

Very important

Somewhat important

Neutral

Not very important

Not at all important

Section 3: Dietary Habits

13.Do you follow any specific diet?

Yes

*14.How often do you consume fruits and vegetables?

Daily

Several times a week

Once a week

Rarely

Never

*15.How important are organic products to you?

Very important

Somewhat important

Neutral

Not very important

Not at all important

Section 4: Mental Health and Wellness

*16.How often do you engage in activities that you find relaxing or stress-relieving?

Daily

Several times a week

Once a week

A few times a month

Rarely

Never

*17.Do you feel you have a healthy work-life balance?

Yes

Sometimes

Submit

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