Be Healthy & Active Participant Survey

Building a healthier and more active community. Have your say....

This survey is anonymous and helps to ensure Scenic Rim Regional Council's Be Healthy & Active program meets the needs of residents and continues to be a valued initiative for our community. We appreciate your feedback and time to complete this survey.

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* 1. Please indicate your age bracket

12 yrs and under

13 - 17 yrs

18 - 29 yrs

30 - 39 yrs

40 - 49 yrs

50 -59 yrs

60 -69 yrs

70 yrs and over

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* 2. Which gender do you identify with?

Female

Male

Other

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* 3. Please indicate the location and activity that you have attended

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* 4. How did you hear about the program?

Word of mouth

Promotional flyer

Newspaper

Website

Participated previously

Social media

Other (please specify)

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* 5. Have you participated in BHA prior to 2022?

No, this is my first year

Yes

If yes, specify how many years you have been participating in BHA

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* 6. Self Reflection: please rate your overall level of health and well-being prior to participating in BHA

Poor

Average

High

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 7. Self Reflection: please rate your overall level of health and well-being after participating in BHA

Poor

Average

High

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 8. Do you feel that having participated in BHA, you are more motivated to live a healthy and active lifestyle?

Yes

Unsure

Comments:

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* 9. What do you feel has been the main benefit from participating in the BHA program?

Overall health benefits

Social connection

Mental well-being

Enjoyment

Getting out in the community/outdoors

Improve strength and fitness

Other (please specify)

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* 10. Do you intend to continue participating in the BHA program?

Yes

Unsure

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* 11. Please provide a rating for the following

	Poor	Needs improvement	Satisfactory	Above average	Excellent
Program content	Program content Poor	Program content Needs improvement	Program content Satisfactory	Program content Above average	Program content Excellent
Cost of the program	Cost of the program Poor	Cost of the program Needs improvement	Cost of the program Satisfactory	Cost of the program Above average	Cost of the program Excellent
Instructor	Instructor Poor	Instructor Needs improvement	Instructor Satisfactory	Instructor Above average	Instructor Excellent
Facilities	Facilities Poor	Facilities Needs improvement	Facilities Satisfactory	Facilities Above average	Facilities Excellent
Overall program rating	Overall program rating Poor	Overall program rating Needs improvement	Overall program rating Satisfactory	Overall program rating Above average	Overall program rating Excellent