Exit this survey Health Benefits of Bellydance Survey Question Title * 1. Which category below includes your current age? 17 or younger 18-20 21-29 30-39 40-49 50-59 60-69 70 or over Question Title * 2. At what age did you begin regular bellydancing? 17 or younger 18-20 21-29 30-39 40-49 50-59 60-69 70 or over Question Title * 3. Are you male or female? Male Female Question Title * 4. what is your occupation? Question Title * 5. Are you currently bellydancing regularly? If yes, please skip to Q7. If no, please continue to Q6 Yes No Question Title * 6. If you are not currently bellydancing regularly, when did you stop? Please indicate periods of activity in the Comments section below and answer the following questions as at the time you were bellydancing regularly. 1-2 years ago 3-5 years ago More than five years ago Other (please specify) Question Title * 7. Number of years of regular bellydance activity? If you are not currently bellydancing regularly, please answer the following questions as at the time you stopped dancing regularly. 0-5 years 5-10 years 10-15 years 15 years or more Question Title * 8. Please indicate the average frequency of your bellydance activity during the longest period of regular activity i.e. classes, practice or rehearsals of 45 minutes or more. Please indicate different periods of activity eg 'once a week for 2 years, then 5 years 3 times/week'. Please add any comments about performances or other regular activity. Once a week Twice a week 3 times/week 4 times/week 5 times or more Comments (please be as specific as possible) Question Title * 9. Please indicate your type of involvement in regular bellydance activity. Multiple answers are possible. Student Teacher Troupe member Troupe leader Solo performer Studio owner Professional dancer Other Comments Question Title * 10. What were your reasons for starting bellydance classes? Indicate as many reasons as applicable and add comments if necessary. Fun/Pleasure General fitness General health and wellbeing Health issues (please specify) Injury rehabilitation Social - came with a friend Social - to make friends Self esteem Sex appeal/sensuality Childbirth preparation Childbirth recovery Glamour Interest in Middle Eastern music Interest in Middle Eastern culture Other - please specify Comments Question Title * 11. While participating in regular bellydance activity, did you notice your weight change? I lost weight My weight remained the same I put on weight Did not notice Question Title * 12. While bellydancing regularly, have you or your health practitioner noticed a change in any of the following (indicate as many as are applicable): Balance Body image/awareness Bone density Childbirth process and recovery Co-ordination Confidence Creativity Energy levels Flexibility Joints (please specify) Memory Muscle strength/tone Pregnancy health PMS symptoms Self esteem Sense of wellbeing Sex appeal/sensuality Social skills Spatial awareness Other (please indicate below) Comments (please be as specific as possible) Question Title * 13. What are the main reasons you continued regular bellydance activity? Fun General health Fitness (please specify any particular issues) Flexibility Posture Co-ordination Injury rehabilitation Muscle tone Health issues (please specify) Stress levels Sex appeal/sensuality Social Economic - teaching as a profession or additional income Economic - performer Committment - involved in a troupe Rewards of teaching Buzz of performing Glamour Travel Interest in Middle Eastern music & dance Interest in Middle Eastern culture Interest in Middle Eastern history Interest in Middle Eastern politics Other (please specify) Comments Question Title * 14. Has bellydancing encouraged you to try or take up any other physical activities? Other forms of dance Other forms of aerobic exercise Weight training Pilates Yoga Other No Comments Question Title * 15. If yes, what effects have these activities had on your health? Question Title * 16. Has regular bellydance activity made a difference to your life and your body? Yes No Question Title * 17. Please indicate how regular bellydance activity has made a difference to your life and your body. Indicate as many answers as are applicable & please be as specific as possible with supporting comments. Improved my fitness Improved my health Improved my posture Improved my social life Improved my general health and wellbeing Improved my outlook on life Provided an outlet for creativity Assisted in injury rehabilitation Encouraged me to lead a more physically active life Increased my awareness of Middle Eastern culture Introduced me to the rewards of teaching others Other No difference Comments (please be as specific as possible) Question Title * 18. Do you or have you ever had an injury from bellydancing? Yes No Please specify injury and how it affected your health and activities Question Title * 19. Has a non-bellydance injury ever affected your bellydance activities? Yes No Please specify injury and how it affected your health and activities Question Title * 20. Do you have any comments about the effects of regular bellydance on your body as you have aged? Question Title * 21. We may wish to publish some comments in the survey report and summary. Please indicate whether you give your permission for your comments to be published. I do not authorise my comments to be published I authorise my comments to be published with my first name and location only (eg Sally, Sydney, NSW) I authorise my comments to be published with my full name and location I am willing to be contacted for further comments; if so, please confirm your email address below Name, Location, Email address as per above answer Done