To register to participate in free activities/promotions offered during Active April please fill out the following questions.  
We will ask you these questions again in May to see if you have increased your activity levels.
Your personal information will only be used for this purpose.  Your personal information will be kept secure and only viewed by workers relevant to the Active April promotion. 
No information will be used for marketing purposes.

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* 1. Firstly, some information about yourself:

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* 2. In the last week, how much time did you spend sitting in a normal week day?
Include time spent at work or at home and during leisure time, e.g. time spent sitting at a desk, in the car, eating, reading, sitting or lying down to watch television.  Please record hours per day.

Please select 1 answer for each question and total your score and record in the box of question 6.

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* 3. How many times a week, do you usually do 20 minutes or more of vigorous-intensity physical activity that makes you sweat or puff and pant? (E.g. heavy lifting, digging, jogging, aerobics or fast bicycling)

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* 4. How many times a week, do you usually do 30 minutes or more of walking? (E.g. walking from place to place for exercise or recreation)

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* 5. How many times a week, do you usually do 30 minutes or more of other moderate-intensity physical activity that increases your heart rate or makes you breathe harder than normal? (E.g. carrying light loads, bicycling at a regular pace or speed walking)

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* 6. Please enter the total score by combining the 3 questions above.  The number selected is the score for each question (7+ is counted as a score of 7).

Your score indicates your physical activity level.

0-1   Low physical activity
2-4   Nearly there - almost enough for health benefits
> 5   Active - sufficient physical activity for health benefits

As recommended in the Australian national Physical Activity guidelines, at least 2.5 hours of moderate intensity activity per week.

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* 7. What would help you to be more active?

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