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Quality of Life
Health
Back
Quality of Life
Health
Your Email
Date of completion
Height
Weight
Age
Gender
Male
Female
Do you smoke?
Yes
No
Alcohol
No
Rarely
Often
Type of Sport
How long have you been practicing?
Do you consider yourself a professional?
Yes
No
How would you rate your own health condition?
Excellent
Good
Fair
Poor
Do you engage in physical exercise?
No
Yes (morning exercise / gym / regular sports)
Свой вариант
Any health complaints?
Do you experience any pain?
In the back
In the lower back
In the neck
Свой вариант
Rate the intensity of your pain on a scale from 0 (no pain) to 10 (unbearable pain)
0
10
Do your arms hurt?
No
Fingers
Wrist
Whole hand
Свой вариант
Rate the intensity of pain in your arms on a scale from 0 to 10
0
10
How many hours do you usually sleep per day?
Is this amount of rest sufficient for you?
How much time do you usually spend on the computer each day?
In your opinion, does your computer work negatively affect your health?
What would you like to change in your relationship with computers?
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