Planning and Commitment Survey for IronMāori Quarter 2021


Congratulations on your commitment to being an Iron Māori athlete this year! We are excited to go on this journey with you.

To qualify for the squad you must book a one hour 1-1 session (email lou@whanauwhanake.org)  Complete this survey, which will initiate an invitation to the squad where you will be provided with further event registration paperwork and full information and assigned your coaching team.
Please note this form must be completed by 25th July 2021 and you must pay $690.00 incl GST by 31st July 2021.  Any patai | questions please contact Cate or Lou.

Question Title

* 1. What's your full name?

Question Title

* 2. How we contact you is important to us. 
What is the best method for you?

Question Title

* 3. What are your best contact details?

Question Title

* 4. What are your best emergency contact details?

Question Title

* 5. Do you have a preferred name or nick name?  
(This is the name you would like us to use when we catch up and might go on merchandise)

Question Title

* 6. How many people live in your whāmere | household?

Question Title

* 7. Please breakdown your whāmere | household by age groups (use whole numbers eg 1,2,3,4)

Question Title

* 8. Thinking about Te Whare Tapa Whā, where do you feel you need the most support right now? (You can choose more than one)

Question Title

* 9. What ethnicity do you identify with?  You can select more than one.

Question Title

* 10. If you do not have Māori Heritage - 
Do you have a connection to someone with Māori Heritage? (you can check more than one option)

Question Title

* 11. Do you know your iwi, hapū and whakapapa enough to do a mihi?

Question Title

* 12. What is your iwi and hapu (if known)?

Question Title

* 13. Connection to whānau/te ao Māori
Rate your knowledge of the following

  Very good Good Neutral Limited None 
Tikanga/Kawa knowledge (protocols and customs)
Staying a marae
Learning about heritage/whakapapa
Learning about local Māori heritage
Your ability to use te reo Māori in public, with whānau or in a group (eg pepehā, or conversation with others)
Kupu or phrases (Māori word/whakatauki/sentance)
Karakia, waiata or haka

Question Title

* 14. How connected are you?
Rate your connection to the following

  Very good Good Neutral Limited None 
Your own whakapapa/heritage/ancestors
Your own whānau or whānui | family, friends, extended family
Your own culture and/or cultural practices

Question Title

* 15. What gender do you identify with? (for event registration)

Question Title

* 16. Do have any pain, injury, disability or a medical condition diagnosis that will effect your ability to train or that you would like your coach to know about?

Question Title

* 17. Are you currently seeing anyone to manage your pain, injury or disability or medical diagnosis?

Question Title

* 18. All about your hauora and wellbeing.   
In a typical week how many days to you do the following?

  0 1 2 3 4 5 6 7
Kori tinana | exercise
Say Āe to the Wai!  | drink 750mls of water or more
Consume processed food
Parakuihi | breakfast
Ngā hikareti | cigarettes
Waipiro | alcohol
Huarākau | fruit
Hua whenua | Colourful vegetables or green salad
Inu mirumiru | carbonated drinks
Caffeinated drinks
Go to bed with tv and/or technology

Question Title

* 19. When did you last do the following? 

  In the last week In the last month (2-4 weeks) In the last 1-5 months In the last 6-12 months More than a year ago Never
Been in a pool
Swam 10 lengths freestyle
Rode a bike
Rode a bike 10kms
Walked outside for more than 20 minutes
Ran outside for 1km or more
Had a 1-1 coaching session at Whānau Whanake
Had a 1-1 coaching session elsewhere
Been to a Whānau Whanake physical class (boxing, circuit, squad training)
Been to a mind/body active recovery session (yoga, taichi, float tank, massage therapy, acupuncture, SOMA)
Been to a gym, community physical activity class or training (gym class, gym training, circus, martial arts, gymnastics, trampolining, dancing, swimming lessons etc)
Taken part in kapahaka or waiata practice or performance
Played or practiced a sport as an individual or in a team
Played sport or kicked a ball around in my back yard with my family or friends
Been to a beach
Used physical activity to get to school or work (walk, scooter, bIke)
Used a scooter or skate board (powered by my feet)
Done something else active we might have forgotten to put down?

Question Title

* 20. How many days a week do you usually exercise or move deliberately for 20 minutes or more?

Question Title

* 21. How healthy do you feel?

Question Title

* 22. How physically fit do you feel?

Question Title

* 23. Do you feel you are making healthy choices?

Question Title

* 24. What are you favourite ways to move or exercise?

Question Title

* 25. What support, coaching or other services do you think you need the most from your coaching team?

Question Title

* 26. Do you have an comments about how you are feeling about taking part?

Question Title

* 27. Is there any support, coaching or other services you think you might need from outside Whānau Whanake to follow your moemoeā | dreams for 2021?

Question Title

* 28. Do you have anything you would like to share to help us plan together?

Question Title

* 29. Any comments or questions please add them here

Question Title

* 30. Have you done everything......
We look forward to catching up with you soon
Coach Cate, Sweaty Vetty the rest of the coaching crew

T