Description: A survey created for athletes to determine improvements in health and health related behaviors. This survey also includes questions to understand athletes’ satisfaction with fitness programs.
Target audience: Use by Program staff, coaches, and fitness professionals to assess athletes and Unified Partners.
Length: The survey takes 5-8 minutes to complete.
Measures:
- Physical activity (i.e., frequency of moderate physical activity, hours of sedentary behavior, muscular strength activities per week)
- Nutrition (i.e., fruit and vegetable consumption, hydration)
- General health and fitness status
- Gains in physical activity and nutrition knowledge
- Gains in physical activity and nutrition confidence
- Gains in social support for physical activity and nutrition
- Fitness program satisfaction (e.g., did the athlete enjoy the program?)
What’s a ‘Qualtrics Report’?
- A report of your Lifestyle Survey that will update automatically as data is collected.
- You’ll be able to see who responded to the survey pre and post.
- This will be shared through a secure cloud platform. Only your SO Program data will be shown in the report.
Implementation Instructions
1. Start Evaluation – Complete the Fitness Evaluation Request Form to receive SOI data reports.
2. Pre-Survey Distribution
Distribute the survey link, QR code, or paper copy before or on the first day of fitness programming using one of the following options:
- Option 1: Email the survey link to athletes.
- Option 2: Bring tablets or phones to complete the survey link or QR code in person.
- Option 3: Provide printed surveys for in-person completion.
- Paper responses must be manually entered using the survey link to receive SOI reports
Use your ‘Qualtrics Report’ to track responses and send reminders as needed.
3. Post-Survey Distribution
Distribute the survey link, QR code, or paper copy on the last day of fitness programming using one of the following options:
- Option 1: Email the survey link to athletes.
- Option 2: Bring tablets or phones to complete the survey link or QR code in person.
- Option 3: Provide printed surveys for in-person completion.
- Paper responses must be manually entered using the survey link to receive SOI reports
Use your ‘Qualtrics Report’ to track responses and send reminders as needed.
Results & Reports: The Research and Evaluation team will provide a link to your Qualtrics Report. If you need a detailed analysis of your pre/post data, they can also create a summary report for you.
Lifestyle Survey Adults (18+ years)*

A printable version of the survey is available if you would like to collect surveys in paper format and insert responses in Qualtrics.
*Mixed age group of adults and youth? Use the survey that aligns with most participants.
Lifestyle Survey Youth (8 – 17 years)*

A printable version of the survey (PDF) is available if you would like to collect surveys in paper format and insert responses in Qualtrics.
*Mixed age group of adults and youth? Use the survey that aligns with most participants.