Healthy Sunshine Coast - Participant Registration Form

Join Healthy Sunshine Coast

Complete this one-time Registration Form to join Healthy Sunshine Coast - it's free to join!

By joining you will also receive the regular Healthy Sunshine Coast Newsletter which provides program updates and snippets of health and wellbeing news.

After registering you will then be able to join in the suite of activities on offer - check the Healthy Sunshine Coast website for details.

All of the activities on offer only cost either $10 General Fee or $5 with a Health Care/Pensioners card - you will need to show this card at the first visit for each activity.

Please also consider joining the Healthy Sunshine Coast Facebook page as all up-to-date news is posted here - The Healthy Sunshine Coast Movement

Please note, data collected in the Form will not be used for ANY purpose other than to verify you are a Sunshine Coast resident, and to receive communications from Council.

For any further information, please email: healthysc@sunshinecoast.qld.gov.au

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1. First Name (Required.)

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2. Surname (Required.)

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3. Email Address - Please ensure you are accurate (Required.)

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4. Repeat Email Address (Required.)

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5. Mobile Phone Number (or Home Phone if no Mobile Phone) (Required.)

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6. Residential Address (Required.)

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7. Suburb (Required.)

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8. Postcode (Required.)

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9. Gender (Required.)

Woman

Man

Non-binary

Prefer not to say

Prefer to self-describe gender (please specify)

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10. Age Group (Required.)

5 to 11 years

12 to 17 years

18 to 24 years

25 to 34 years

35 to 44 years

45 to 54 years

55 to 64 years

65 to 74 years

75 to 84 years

85 years and over

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11. Have you participated in Healthy Sunshine Coast activities previously? (Required.)

Yes

Unsure

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12. What are the main benefits you hope to gain from participating in the Healthy Sunshine Coast Program? (Required.)

Overall health benefits

Improved general fitness

Improved strength

Improved flexibility and agility

Improving mental wellbeing

Connecting and socialising with others

Enjoyment and fun

Getting out in the community

Getting outdoor

Learning something new

Rehabilitation/therapy

Other (please specify)

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13. What type of health and wellbeing activities would you like to see offered in your local area? (More than one choice is possible) (Required.)

Walking groups

Running groups

Aqua sessions (such as aqua aerobics, deep water running)

Water-based activities (such as surfing, kayaking, stand-up paddle board)

Sports (such as pickle ball, walking soccer, table tennis)

Group sessions (such as boxing, HIIT, circuit, fitness and strength)

Yoga

Pilates

Tai Chi

Zumba

Dance

Meditation and mindfulness

Outdoor/Nature therapy

Nutrition and cooking

Gardening

Creative Arts

Outdoor activities (such as abseiling, mountain biking, bush walking)

Activities for all abilities - seated sessions, balance sessions

Rehabilitation/therapeutic sessions

Family sessions (parents with kids)

Kid's sessions

Teenage sessions

Older person sessions

Women-only sessions

Men-only sessions

Health and wellbeing education sessions (on topics such as nutrition, physical activity, sleep, mindfulness, social connection etc.)

Sessions targeting other demographics - please specify in 'Other' section below

Nothing in particular

Other (please specify)

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14. How did you find out about the Healthy Sunshine Coast Program? (Required.)

Printed material

Council website

Social media

Library

Friend or family member

Community organisation

Business

Recommended by a medical or health professional

Internet search

Other (please specify)

Healthy Sunshine Coast - Participant Registration Form

Join Healthy Sunshine Coast

Question Title

* 1. First Name (Required.)

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* 2. Surname (Required.)

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* 3. Email Address - Please ensure you are accurate (Required.)

Question Title

* 4. Repeat Email Address (Required.)

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* 5. Mobile Phone Number (or Home Phone if no Mobile Phone) (Required.)

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* 6. Residential Address (Required.)

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* 7. Suburb (Required.)

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* 8. Postcode (Required.)

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* 9. Gender (Required.)

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* 10. Age Group (Required.)

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* 11. Have you participated in Healthy Sunshine Coast activities previously? (Required.)

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* 12. What are the main benefits you hope to gain from participating in the Healthy Sunshine Coast Program? (Required.)

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* 13. What type of health and wellbeing activities would you like to see offered in your local area? (More than one choice is possible) (Required.)

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* 14. How did you find out about the Healthy Sunshine Coast Program? (Required.)

1. First Name (Required.)

2. Surname (Required.)

3. Email Address - Please ensure you are accurate (Required.)

4. Repeat Email Address (Required.)

5. Mobile Phone Number (or Home Phone if no Mobile Phone) (Required.)

6. Residential Address (Required.)

7. Suburb (Required.)

8. Postcode (Required.)

9. Gender (Required.)

10. Age Group (Required.)

11. Have you participated in Healthy Sunshine Coast activities previously? (Required.)

12. What are the main benefits you hope to gain from participating in the Healthy Sunshine Coast Program? (Required.)

13. What type of health and wellbeing activities would you like to see offered in your local area? (More than one choice is possible) (Required.)

14. How did you find out about the Healthy Sunshine Coast Program? (Required.)