Waterford Sports Partnership - Male Over 35 Exercise Programme

Male Over 35's Exercise Programme

Waterford Sports Partnership are looking to deliver an exercise programme for men over 35 years of age, which will focus on getting people exercising more and providing opportunities for a more active lifestyle. It would be appreciated if you could complete the following survey.

WHAT IS THE PROGRAMME ABOUT?
Our provisional idea is for an 8 week Physical Activity programme involving weekly taster sessions in a number of sports, leisure facilities and clubs around the Dungarvan area.

WHO EXACTLY IS THE PROGRAMME FOR?
The programme is open to any male aged over 35 of any ability. This may be someone who used to be involved in sport but now no longer is, someone who never participated in sport but would like to or just simply people who are looking to get more active.

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* 1. Please complete the details below

Name: *

Organisation/Club

Address 1: *

Address 2: *

City/Town: *

Email Address: *

Phone Number:

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* 2. Would you be interested in participating in a Male Over 35’s Exercise Programme?

YES

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* 3. Please tick your age profile

35-44

45-54

55-64

65+

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* 4. What time would suit you for participation in the programme?

7.00am – 8.30am

5.30pm – 7.00pm

7.00pm – 8.30pm

8.00pm – 9.30pm

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* 5. Which day would be most suitable for you? (Please tick more than one day if applicable)

Anyday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

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* 6. Which month would be most suitable for you? (Please tick more than one answer if applicable)

April/May

May/June

June/July

July/August

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* 7. What do you think would be an appropriate duration for the programme?

4 weeks

6 weeks

8 weeks

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* 8. What do you think would be an appropriate frequency of activities?

Once a week

Twice a week

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* 9. Which statement reflects your current level of physical activity?

I am not physically active

I used to play sport but no longer play any sport

I am physically active for 1-2 days per week

I am physically active for 3-4 days per week

I am physically active nearly everyday

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* 10. Which of the following sports would you be interested in experiencing? (Please tick more than one if applicable)

Bowling

Fishing

Cycling

Gym

Tennis

Walking

Sailing

Boxercise

Rugby

Badminton

Swimming

Soccer

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* 11. Are there any other sporting activities you would like to try that are not listed in the previous question?

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* 12. Please tick if you would be interested in the following information sessions being part of the programme?

Nutritional Seminar

Benefits of Exercise

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* 1. Please complete the details below

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* 2. Would you be interested in participating in a Male Over 35’s Exercise Programme?

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* 3. Please tick your age profile

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* 4. What time would suit you for participation in the programme?

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* 5. Which day would be most suitable for you? (Please tick more than one day if applicable)

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* 6. Which month would be most suitable for you? (Please tick more than one answer if applicable)

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* 7. What do you think would be an appropriate duration for the programme?

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* 8. What do you think would be an appropriate frequency of activities?

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* 9. Which statement reflects your current level of physical activity?

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* 10. Which of the following sports would you be interested in experiencing? (Please tick more than one if applicable)

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* 11. Are there any other sporting activities you would like to try that are not listed in the previous question?

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* 12. Please tick if you would be interested in the following information sessions being part of the programme?

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* 13. Are there any other information sessions you would be interested in?