PHYSICAL ACTIVITY QUESTIONNAIRE

Thank you very much for taking the time to complete this survey. The aim of our study is to investigate the knowledge, attitudes and behaviors of oncology clinicians regarding physical activity promotion in cancer survivors who have completed active treatment. The results of our study will help us to understand how best to promote physical activity to patients,

You will be asked questions about your experiences of physical activity, your opinions concerning physical activity promotion in patients, your confidence and current practices related to physical activity promotion. There are no right or wrong answers. Please just give the answer that is right for you and best describes how you feel. All responses are anonymous and strictly confidential.

 

* 1. Are you male or female

* 2. What is your age

* 3. Please indicate your specialty

* 4. Which society of Oncology do you belong to? (if you are a member of more than one, please choose the society most closely associated with the current location of your work and only complete this questionnaire once)

* 5. How many cancer patients do you see in an average week?

* 6. Do you normally give patients advice regarding physical activity?

* 7. How do you usually give advice to your patients regarding physical activity? (tick as many as apply)

* 8. For those patients that you do recommend physical activity, what are your general recommendations in regards to the following:

* 9. Who would you consider most suitable to deliver a physical activity intervention to cancer patients/survivors?

* 10. I intend to promote physical activity participation to cancer survivors during follow-up consultations. (Please tick one circle)

* 11. Regular physical activity can improve the quality of life for cancer survivors. (Please tick one circle)

* 12. Regular physical activity is associated with reduced risk of CVD in cancer survivors. (Please tick one circle)

 

* 13. Regular physical activity is associated with reduced fatigue in cancer survivors. (Please tick one circle)

 

* 14. I feel confident recommending physical activity to cancer survivors after treatment. (Please tick one circle)

* 15. I feel that discussing physical activity with patients is part of my role. (Please tick one circle)

* 16. I would be confident in referring cancer survivors to an exercise specialist. (Please tick one circle)

* 17. Whether or not I participate in physical activity promotion with patients over the next three months is entirely up to me. (Please tick one circle)

* 18. How much control do you feel you have over promoting increased physical activity in patients over the next three months? (Please tick one circle)

* 19. What (if any) is the greatest barrier or impediment to you promoting physical activity to patients over the next three months? (Please write your response on the line below)

* 20. Now, considering the barrier you have written above, how confident are you in promoting physical activity to patients when that barrier is present? (Please tick one circle)

* 21. In the course of the past three months, how often have you actively encouraged or prescribed physical activity to cancer survivors? (Please tick one circle)

 

* 22. I actively promoted participation in moderate-intensity physical activity to cancer survivors over the past three months with the following regularity:

(Please tick one circle)

* 23. In the course of the past two weeks, how often have you participated in Moderate-intensity physical activity for at least 30 minutes a day? (Please tick one box)

* 24. For me, doing moderate-intensity physical activities for 30 minutes at a time at least five times per week in the next fortnight is:

  Extremely Very Quite Somewhat Not at all
Important
Worthwhile
Valuable
Satisfying
Enjoyable
Pleasant

* 25. Do you have any other comments?

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