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Questionnaire IRMAS (en)
938 visualizing
A) Basic information:
Email
[Required]
:
Please enter a valid email address (e.g. you@provider.com).
How does your birthday date ?
[Required]
:
Which sex do you have?
[Required]
:
Woman
Male
B) Physical condition:
How often do you do sport per week on the average in the last months?
[Required]
:
1/ < 1 x per week
2/ 1 tot 3x per werk
3/ 3 to 5x per week
4/ 5 to 7x per week
5/ > 7x per week
How frequently per week did you operate sport in the last five years?
[Required]
:
1/ < 1x per week
3/ 1 to 3x per week
4/ 3 to 5x per week
5/ 5 tot 7x per week
6/ > 7x per week
How many times per week in your activists sportiest time did you practice sport?
[Required]
:
1/ < 1x per week
2/ 1 to 3x per week
3/ 3 to 5x per week
4/ 5 to 7x per week
5/ > 7 x per week
How many years do practice sport ( at least 1x per week 30 minutes )?
[Required]
:
1/ < 1 year
2/ 1 to 5 years
3/ 5 to 10 years
4/ 10 to 20 years
5/ 20 to 30 years
6/ 30 to 50 years
7/ > 50 years
Did you already participate at the World of Masters Orienteering Championships or the World of Masters Games?
[Required]
:
1/ First time
2/ 2 to 3x times
3/ 3 to 5x times
4/ 5 to 10x times
5/ More than 10x times
Do you participate regularly on competitions?
[Required]
:
1/ no, is the first time
2/ 1x per year
3/ 3 to 5x per year
4/ 5 to 10x per year
5/ near each week during the season
6/ near each week during the whole year
7/ several times per week
If you participate regularly at competition, how often have you participated in the last 5 years (average)?
[Required]
:
1/ no, is the first time
2/ 1x per year
3/ 3 to 5x per year
4/ 5 to 10x per year
5/ near each week during the season
6/ near each week during the whole year
7/ several times per week
If you participate regularly at competition, how often have you participated in your activists sportiest time (average per year)?
[Required]
:
1/ no, is the first time
2/ 1x per year
3/ 3 to 5x per year
4/ 5 to 10x per year
5/ near each week during the season
6/ near each week during the whole year
7/ several times per week
How many different kind of sports do you practice at the moment?
[Required]
:
1/ none
2/ 1
3/ 2 to 3
4/ 3 to 5
5/ >5
How many different kinds of sports in your most active sportiest time of your life operated you at the same time?
[Required]
:
1/ none
2/ 1
3/ 2 to 3
4/ 3 to 5
5/ >5
If you participated at competition, which was your best result?
[Required]
:
1/ do sport as joy
2/ I don’t know
3/ International victory
4/ International potest
5/ 10 best of the world
6/ National winner
7/ National podium
8/ 10 best national
9/ 50 best national
10/ other
If you participate at competition which was your best result at category elite?
[Required]
:
1/ do sport as joy
2/ I don’t know
3/ International victory
4/ International potest
5/ 10 best of the world
6/ National winner
7/ National podium
8/ 10 best national
9/ 50 best national
10/ other
Do you practice additionally sport for the up part of your body (swim, fitness, gymnastic etc.…)?
[Required]
:
1/ never
2/ occasionally
3/ 1x per week
4/ 2 bis 3x per week
5/ 3 bis 5x per week
6/ daily
Do you practice stretching exercises?
[Required]
:
1/ never
2/ occasionally
3/ 1x per week
4/ 2 bis 3x per week
5/ 3 bis 5x per week
6/ daily
Have you ever done a test of performance?
[Required]
:
1/ never
2/ occasionally
3/ (average) each 5 to 10 years
4/ every 2 to 3 years
5/ 1x per year
6/ more
Do you use a cardiotester?
[Required]
:
1/ Never
2/ occasionally
3/ only during the training
4/ only during the competition
5/ during the training and competition
6/ every time when I am doing sport
C) HEALTH
Which body size do you have?
[Required]
:
How is your body weight (approximate)?
[Required]
:
How is your approx. quiescent pulse?
[Required]
:
1/ I don’t know
2/ less than 40 / minutes
3/ between 40 and 60 / minutes
4/ between 60 and 80 / minutes
5/ between 80 and 100 / minutes
6/ >100 / minutes
Which is your max. heartrate during sport?
[Required]
:
1/ I don’t know
2/ 100 to 120 / minutes
3/ 120 to 140 / minutes
4/ 140 to 160 / minutes
5/ 160 to 180 / minutes
6/ 180 bis 200 / minutes
7/ > 200 / minutes
What’s your normal systolic blood pressure?
[Required]
:
1/ I don’t know
2/ > 200 mmHg
3/ 160 to 200 mmHg
4/ 140 to 160 mmHg
5/ 120 to 140 mmHg
6/ 100 to 120 mmHg
7/ <100 mmHg
What’s your normal diastolic blood pressure?
[Required]
:
1/ I don’t know
2/ > 100 mmHg
3/ 90 to 100 mmHg
4/ 80 to 90 mmHg
5/ <80 mmHg
Have you ever had an accident of sport?
:
1/ none
2/ muscle injuries
3/ fractures
4/ luxations
5/ joints injuries
6/ contusions
7/ does not want to speak of it
Have you ever had in your life an accident at work with the following suffering?
:
1/ none
2/ muscle injuries
3/ fractures
4/ luxations
5/ joints injuries
6/ contusions
7/ does not want to speak of it
You had already following suffering in your life?
:
1/ none
2/ muscle injuries
3/ fractures
4/ luxations
5/ joints injuries
6/ contusions
7/ does not want to speak of it
You had the follwoing suffering:
:
1/ none
2/ allergy, Asthma, Rhinitis
3/ heart diseases ( stroke , angina pectoris,high bloodpressure… )
4/ bad infections
5/ metabolic Problemes ( Sugar, Cholesterol… )
6/ abdominal problems ( appendicitis, ileus, ulcer, gluten allergy... )
7/ rheumatism problems ( arthrosis, osteoporosis, different rheumatism... )
8/ deficiencies ( iron, vitamins, magnesium... )
9/ urinary problems
10/ cancers
11/ does not want to speak of it
Do you suffer actually:
:
1/ none
2/ allergy, Asthma, Rhinitis
3/ heart diseases ( stroke , angina pectoris,high bloodpressure… )
4/ bad infections
5/ metabolic Problemes ( Sugar, Cholesterol… )
6/ abdominal problems ( appendicitis, ileus, ulcer, gluten allergy... )
7/ rheumatism problems ( arthrosis, osteoporosis, different rheumatism... )
8/ deficiencies ( iron, vitamins, magnesium... )
9/ urinary problems
10/ cancers
11/ does not want to speak of it
You accomplished the last 5 years a medical treatment:
:
1/ none
2/ alternative medecine ( homeopathy, plants medicine, acupuncture, chinese medicine.... )
3/ conventional medicine
4/ chemotherapy
5/ radiotherapy
6/ surgery
7/ physiotherapy
8/ osteopathy, chiropraxy, manual Medicine
9/ does not want to speak of it
Have you diet problems:
[Required]
:
1/ I’m eating everything without special attention
2/ special diet
3/ special sport diet
4/ eat no meat
5/ eat no meat and milk products
6/ does not want to speak of it
Smoke:
[Required]
:
1/ never smoked
2/ when I was young I had smoked but had for a long time stopped
3/ I smoked a lot but stopped for a long time
4/ I smoked up to a pack a day and I stopped in recent years
5/ I smoked over a pack a day and I stopped in recent years
6/ I still smoke a pack a day until
7/ I still smoke more than a pack a day
8/ I would like not to express myself over it
Questions in connection with alcohol:
[Required]
:
1/ I do not consume alcohol
2/ I consumed alcohol in the past but at present I do not consume alcohol
3/ occasionally I consume alcohol
4/ I consume up to two glasses an alcohol per week
5/ I consume up to two glasses per day with the meals
6/ I consume on the average several glasses alcohol per day
7/ I would not like to express myself
Do you consume drugs:
[Required]
:
1/ never
2/ when I was young, but now not anymore
3/ in exceptional cases
4/ regularly
5/ does not want to speak of it
Do you go regularly to an doctor?
[Required]
:
1/ never
2/ only if I would have an accident or an illness
3/ 1x per 10 year
4/ 1x per 5 ans
5/ 1x per 2-3 ans
6/ 1x per an
7/ more
What do you examine regularly with your doctor?
:
1/ nothing
2/ only clinical investigations
3/ blood values
4/ X-rays
5/ echography
6/ specific investigations
Have you ever done a check up for heart and vascular diseases?
:
1/ never
2/ elektrokardiogramm
3/ stress test
4/ echocardiography
5/ coronarography
6/ other
In which country you live at present?
[Required]
:
D) QUALITY EVALUATION
What do you think of this study?
[Required]
:
1/ I am not interested in and I would like not to take part in the future
2/ I am not interested in and I don’t have an opinion
3/ I am interested in and are interested in further information
4/ I am very much interested in and would like to be informed in the future about news of that study
What is your impression concerning the physical presence (stand) at the WMOC?
[Required]
:
1/ I didn’t see it
2/ I didn’t had any time to pass
3/ the stand was not at the correct place
4/ it was interesting
5/ I was glad that I could complete the health check
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