Participant Questionnaire 4

This questionnaire is part of the Let's Be Active project, a Europe wide physical activity intervention. This is an EU- Funded project delivered through Ireland Active.

The data recorded in this questionnaire will be analysed for the purposes of monitoring behavioral change through exercise and examining the most beneficial ways to get currently inactive people, active. 

This is questionnaire number 4. This should be completed 6 months after completing the 6 week programme.

Your details and answers will be anonymous and only used for research purposes. 


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* 1. Which of the following facilities are you participating in the project?

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* 2. Name:

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* 3. During the last 7 days, on how many days did you do vigorous physical activity? e.g. Gardening, Aerobics, Running, Cycling

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* 4. How many minutes per day do you spend doing vigorous physical activity?

0 Minutes 90 Minutes 180 Minutes
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i We adjusted the number you entered based on the slider’s scale.

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* 5. During the last 7 days, on how many days did you do moderate physical activity? e.g.  Carrying light loads, Jogging, Yoga.  Do not include walking.

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* 6. How many minutes per day do you spend doing moderate physical activity?

0 Minutes 90 Minutes 180 Minutes
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i We adjusted the number you entered based on the slider’s scale.

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* 7. During the last 7 days, on how many days did you walk for at least 10 minutes?

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* 8. How much time do you usually spend walking daily?

0 Minutes 90 Minutes 180 Minutes
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i We adjusted the number you entered based on the slider’s scale.

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* 9. During the last 7 days, how many hours did you spend sitting per day?

0 Hours 12 Hours 24 Hours
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i We adjusted the number you entered based on the slider’s scale.

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* 10. How does your health affect your relationship with your family?

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* 11. How would you describe your sleep?

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* 12. How do you generaly feel?

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* 13. Do you feel any pain or discomfort while undertaking daily activities?

0 of 13 answered
 

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