Physical Activity and Cancer

20% of survey complete.

We would very much value your views on physical activity and cancer.

We now know that doing physical exercise when living with and beyond cancer may have many health and wellbeing benefits. We need to understand how we could make our programme work for you in your area.

Please answer as many questions as you can. It will help us to get a better picture.

All completed questionnaires will be entered into a prize draw with a chance of winning a £40 High Street
gift voucher.

All information will be treated as confidential.

Question Title

* 1. Contact Information

First Name

Surname

Contact telephone number

Postcode

Question Title

* 2. Your physical activity

Physical Activity means different things to different people. It can include hanging out the washing, walking upstairs, football, gym, any indoor or outdoor sports, running, digging, building work, dancing, cleaning, walking the dog, walking to the shops.

What we mean by physical activity is any activity where your heart rate and breathing were faster than normal and you may have been sweaty.

Please tell us how physically active you were before your diagnosis.

Please tick the box that describes you best.

I was physically active over 3 times a week before my diagnosis

I was physically active 1-2 times per week before my diagnosis

I was physically active once a week before my diagnosis

I was not physically active at all (please go to question 4)

Question Title

* 3. Before your diagnosis approximately how much time did you spend on a session of physical activity?

I was physically active for over 30 minutes at a time

I was physically active for over 20 minutes at a time

I was physically active less than 20 minutes at a time

I was not physically active at all

Question Title

* 4. Now thinking about activity over the last week,

Please tick the box that describes you best

I was physically active over 3 times

I was physically active 1-2 times per week

I was physically active once a week

I was not physically active at all (please go to question 6)

Question Title

* 5. How much time did you spend on a session of physical activity?

I was physically active over 30 minutes at a time during the last week

I was physically active over 20 minutes at a time during the last week

I was physically active less than 20 minutes at a time during the last week

Is there anything you would like to add about the choices you have made above?

Question Title

* 1. Contact Information

Question Title

Question Title

* 3. Before your diagnosis approximately how much time did you spend on a session of physical activity?

Question Title

* 4. Now thinking about activity over the last week,Please tick the box that describes you best

Question Title

* 5. How much time did you spend on a session of physical activity?

* 4. Now thinking about activity over the last week,

Please tick the box that describes you best