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Colostomy UK's Active Ostomate's Pre-Survey September 2026
1.
What Active Ostomates class(es) are you registering for?
Mindfulness and Meditation
Pilates
Chair Yoga
Yoga
2.
What is your full name?
3.
Have you experienced barriers to being active? If so, what barriers have you faced:
Lack of reliable information or guidance
Fear of developing a hernia
Lack of confidence due to body image or self-esteem
Pain or discomfort
Concerns about stoma management during activity (e.g. leaks, suitable stoma bag, irritation)
Fatigue or low energy
Worry about stoma bag becoming visible or making noise
Anxiety about using public facilities (e.g. changing rooms or toilets)
Not knowing which activities are safe
Embarrassment or fear of judgement
I have not experienced any barriers
Other (please specify)
4.
What are your primary goals for joining this Active Ostomates class?
To learn what exercises are safe to do with a stoma
To enhance flexibility
To help myself gently recover from stoma surgery
To improve my confidence
To improve my energy levels
To improve my motivation to be active
To push myself out of my comfort zone
To keep my muscles strong
To support my physical health
To support my mental heatlh
Social interaction
Stress relief
Parastomal hernia management
Other (please specify):
5.
How would you rate your current fitness level?
Very poor
Poor
Fair
Good
Very good
Excellent
6.
How would you rate your current motivation level to be active?
Very low
Low
Moderate
High
Very high
7.
What are you looking forward to most about these classes?
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8.
By submitting this survey you are confirming that you are physically fit enough to participate in these sessions. If you have any medical conditions, injuries or are taking any medications that affect your heart rate then please seek advice from a healthcare professional prior to registering. Participation in these workouts are therefore on the understanding that if any injuries occur as a result of the workouts, then Colostomy UK are released from any liability now or in the future for conditions that may be acquired from participation.
If you need to tell us anything before you participate, please contact getinvolved@colostomyuk.org.
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