Health & Well Being 3 Question Title * 1. How many Male & Females in your Household ? Please specify numbers. Male Female Question Title * 2. What age group are the occupants from your household in ? Please specify numbers. 0-5 6-10 11-16 17-18 19-25 26-49 50-64 65-74 75+ Question Title * 3. What 'Health Services' area do you live in ? Newbury CCG South Reading CCG North & West Reading CCG Wokingham CCG Other (please specify) Question Title * 4. Have you looked on the Health & Well-Being tab on our website? Yes No Please visit the Health & WellBeing TAB for up to date info and downloads Question Title * 5. Have you found the pedometer useful? Yes No Do not have a pedometer If you would like pedometers for your family please insert your email address Question Title * 6. Since downloading the monitoring forms, have you noticed any changes in your families health? Yes No Have not downloaded the monitoring forms Please visit the Health & WellBeing TAB for up to date info and downloads. Please tell us what the changes are in the box below Question Title * 7. Since downloading the Health & Well-Being booklets. Has it made accessing Health Services easier? Yes No Please list below what these changes are Question Title * 8. Have you accessed any new activities since starting this project? Yes No Please tell us what these are Question Title * 9. Any other comments or a story so far..... Thank you for completing Survey 3ASD Family HelpYou can contact us about anything to do with Health & Well-Being by emailing Jayneadmin@asdfamilyhelp.org Done
