Exercise Survey - Pedal for Parkinson's

Designed by Parkinson's Advocate and cyclist David Greaves, this survey is designed to explore the effects of exercise on people living with Parkinson's.

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* 1. Are you

Male

Female

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* 2. Which age group do you belong to?

Teens

20s

30s

40s

50s

60s

70s

80s

90s

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* 3. How long has it been since your diagnosis? (choose one age band)

0-5 years

6-10 years

11-15 years

16-20 years

21-25 years

26-30 years

31-35 years

over 35 years

Other (please specify)

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* 4. Which of the following statements best describes you?

I didn't exercise at the time of diagnose and I didn't start exercising afterwards

I didn't exercise at the time of diagnosis but I started exercising afterwards, but I don't exercise now

I didn't exercise at the time of diagnosis but I started exercising afterwards and have continued to exercise since.

I exercised at the time of diagnosis but stopped exercising afterwards and still don't exercise

I exercised at the time of diagnosis but stopped exercising afterwards but have since started again

I exercised at the time of diagnosis and continued exercising afterwards but have since stopped

I exercised at the time of diagnosis and continued exercising afterwards and still exercise

Other (please specify)

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* 5. How many times a week do you exercise?

Once

Twice

Three times

Four times

Five times

More than five times

Other (please specify)

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* 6. Do you exercise in short bursts or in one session?

Short bursts

One session

Both

Neither

Don't exercise

Other (please specify)

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* 7. When taking exercise, on average, how long do you exercise?

less than 10 mins

10-20 mins

20-30 mins

30-40 mins

40-50 mins

50-60 mins

1 hour - 1 hour 10 mins

1 hour 10 mins - 1 hour 20 mins

1 hour 20 mins - 1 hour 30 mins

More than 1 hour 30 mins

More than 2 hours

More than 3 hours

Other (please specify)

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* 8. Would you like to exercise more?

Yes

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* 9. If yes, what stops you?

Not enough time

The weather

Lack of energy/tired

Too busy

Drug timings

Not feeling well

Lack of motivation

Other (please specify)

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* 10. Which of the following exercises do you take part in?

None

Walking

Running

Cycling

Swimming

Aqua fit

Machine based gym work

Teacher-led aerobic-type class e.g. circuit training

Teacher-led strengthening exercise class e.g. pilates,

Stretching and relaxing classes e.g. Tai-Chi or Yoga

Chair based exercises

Outdoor pursuits

Sailing

Kayak or Canoeing

Fell walking, Climbing, Mountaineering

Team games (cricket, hockey, fooball, netball etc)

Dancing

Individual competitive sports (tennis, table tennis, boxing, wrestling, Judo)

Golf

Other

Other (please specify)

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* 11. Do you notice a difference during exercise or not?

Yes

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* 12. If yes, what do you notice?

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* 13. Do you notice a change in your condition as a result of exercising?

Yes

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* 14. If yes, what do you notice?

	better	worse	no change	n/a
change in strength	change in strength better	change in strength worse	change in strength no change	change in strength n/a
change in balance	change in balance better	change in balance worse	change in balance no change	change in balance n/a
change in coordination	change in coordination better	change in coordination worse	change in coordination no change	change in coordination n/a
change in sense of wellbeing	change in sense of wellbeing better	change in sense of wellbeing worse	change in sense of wellbeing no change	change in sense of wellbeing n/a
change in sleep at night	change in sleep at night better	change in sleep at night worse	change in sleep at night no change	change in sleep at night n/a
change in daytime alertness	change in daytime alertness better	change in daytime alertness worse	change in daytime alertness no change	change in daytime alertness n/a
change in medication management	change in medication management better	change in medication management worse	change in medication management no change	change in medication management n/a
change in medication requirements	change in medication requirements better	change in medication requirements worse	change in medication requirements no change	change in medication requirements n/a
change in apetite	change in apetite better	change in apetite worse	change in apetite no change	change in apetite n/a
change in digestive patterns	change in digestive patterns better	change in digestive patterns worse	change in digestive patterns no change	change in digestive patterns n/a
altered ability to initiate movements	altered ability to initiate movements better	altered ability to initiate movements worse	altered ability to initiate movements no change	altered ability to initiate movements n/a
change in fatigue	change in fatigue better	change in fatigue worse	change in fatigue no change	change in fatigue n/a
change in ability to organise	change in ability to organise better	change in ability to organise worse	change in ability to organise no change	change in ability to organise n/a
other	other better	other worse	other no change	other n/a

Other (please specify)

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* 15. When you exercise, do you feel energised?

Yes

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* 16. If you feel energised by exercising, do you use up your medication more quickly? (This has been reported by a number of PwP)

Yes

Don't know

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* 17. Have you ever experienced a negative effect as a result of overexercising?

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* 18. We expect this survey may prompt lots more questions. If you would like to take part in the next survey about exercise, please do provide your email address. Thank you so much for taking part.