1. Healthy Killaloe Ballina

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 100% of survey complete.
This survey provides an understanding of the physical activity and wellbeing levels of the people of Killaloe Ballina. This information allows the creation of programmes to increase health and wellbeing within the community.

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* 1. Gender?

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* 2. What age are you, please tick the box:

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* 3. How often do you smoke?

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* 4. Which of the following best describes the type of tasks you mainly do every day (including  
paid and unpaid activities)?

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* 5. How many days in a typical week do you walk (for at least 10 minutes continuously at a
time) to get to and from places? ( e.g. home to work)?

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* 6. If you do walk to get to and from places: How much time do you spend walking on a typical day?

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* 7. How many days in a typical week do you cycle (for at least 10 minutes continuously at a time)?

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* 8. If you do cycle to get to and from places, how much time do you spend cycling on a typical day?

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* 9. How many days in a typical week do you do sports, fitness or recreational (leisure) physical activities that cause at least a small increase in breathing or heart rate for at least 10 minutes continuously? ( exclude walking and cycling activity mentioned previously)

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* 10. If you do such sports, fitness or recreational (leisure) physical activities:
How much time do you spend on such sports, fitness or recreational (leisure) activities in a typical week?

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* 11. How many days in a typical week do you do muscle- strengthening activities? ( examples of muscle strengthening activities: resistance training, strength exercise- using weights, elastic bands, squats, push ups etc.) (exclude jogging, swimming or cycling)

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* 12. If you do such muscle strengthening activities: i.e. resistance training, weights
How much time do you spend on such activities in a typical week?

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* 13. In general, how would you rate your overall health?

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* 14. Which of the following statements best describes you?

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* 15. Which of these statements best describes your eating and/or cooking habits most of the time?

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* 16. During the last 12 months, how often have you consumed the equivalent of 6 standard drinks on one
drinking occasion?

Here are some examples of a standard drink.

A pub measure of spirits (35.5ml)
A small glass of wine (12.5% volume)
A half pint of normal beer
An alcopop (275ml bottle)

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* 17. Do you particiapte in any social groups or clubs? ( for example GAA or sport clubs, book clubs, church connected groups, charitable body etc.,)

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* 18. How easy would it be to get practical help from neighbours if you needed it?

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* 19. How often have you taken part in physical activity ( i.e. swimming, sailing, water sports)  in your local rivers and lakes in the last 12 months?

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* 20. Do you feel that being physically active ( walking, strolling, jogging, swimming, sport) in the outdoors can have any of the following benefits? Please tick as many as you feel apply.

 
Positive Impact on my Health and wellbeing
Improvements in Self Esteem
Improvements in Blood Pressure
Increase Concentration levels
Reduce feelings of negativity/bad mood
Improve feeling of happiness
Reduce feelings of anger/tension
Reduce feelings of stress/anxiety
All of the above information collected is compiled into a large database so individual responses will not be visible to the public.


Thank you for taking the time to complete this survey.

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