Wheels 2 Fitness Exercise Survey

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1. What is your disability?

What is your disability? Spinal Cord Injury

Spina Bifida

Multiple Scerlrosis

Other (please specify)

2. Do you go to a gym on a regular basis, such as twice a week?

Do you go to a gym on a regular basis, such as twice a week?

3. Where do you live?

Where do you live? Seattle

North Seattle

South Seattle

Tacoma Area

Everett Area

Olympia Area

Eastern Washington

Other (please specify)

4. Do you use a gym now?

Do you use a gym now? Yes

5. Have you been involved with a gym before?

Have you been involved with a gym before? Yes

6. If you used a gym, which one?

If you used a gym, which one? Bally's

24 hour Fitness

Golds Gym

NW Nextsteps

Other (please specify)

7. How long have you used your gym

How long have you used your gym 1-5 years

5-7 years

10 plus years

8. Do you ever exercise at home?

Do you ever exercise at home? Yes

9. What type of equipment do you use at home?

What type of equipment do you use at home?

10. Would you ever be interested in a wheelchair aerobics or wheelchair yoga class?

Would you ever be interested in a wheelchair aerobics or wheelchair yoga class? Yes

11. Would you be interested in pool therapy or swimming if it was available?

Would you be interested in pool therapy or swimming if it was available? yes

12. What type of equipment would you like to see offered at a gym?

What type of equipment would you like to see offered at a gym?

13. Could you use free weights if hand or wrist cuffs were available for those use who have limited hand function?

Could you use free weights if hand or wrist cuffs were available for those use who have limited hand function? yes

14. If you are not exercising... why not? Lack of time? resources? finances? transportation issues? accessibility issues?

If you are not exercising... why not? Lack of time? resources? finances? transportation issues? accessibility issues?

15. Would you use a gym if a personal trainer could help you develop an exercise plan or would you like to develop your own?

Would you use a gym if a personal trainer could help you develop an exercise plan or would you like to develop your own? Personal Trainer Exercise Plan

Develop your own plan

16. How would you get to a gym?

How would you get to a gym? Drive yourself

Use Access

Use Bus sytstem

Have someone drive you

17. Would you like to be contacted about accessible gyms and the results of this survey?

Would you like to be contacted about accessible gyms and the results of this survey? Yes

If yes, please provide email in other

Other (please specify)

1. Introduction

1. What is your disability?

2. Do you go to a gym on a regular basis, such as twice a week?

3. Where do you live?

4. Do you use a gym now?

5. Have you been involved with a gym before?

6. If you used a gym, which one?

7. How long have you used your gym

8. Do you ever exercise at home?

9. What type of equipment do you use at home?

10. Would you ever be interested in a wheelchair aerobics or wheelchair yoga class?

11. Would you be interested in pool therapy or swimming if it was available?

12. What type of equipment would you like to see offered at a gym?

13. Could you use free weights if hand or wrist cuffs were available for those use who have limited hand function?

14. If you are not exercising... why not? Lack of time? resources? finances? transportation issues? accessibility issues?

15. Would you use a gym if a personal trainer could help you develop an exercise plan or would you like to develop your own?

16. How would you get to a gym?

17. Would you like to be contacted about accessible gyms and the results of this survey?