E-focus


Active Wellbeing Strategy Community Survey

Thank you for agreeing to complete this short survey to help us understand your attitude and behaviours towards being physically active.

Physical activity (any activity that raises heart and breathing rate) is good for people’s health and wellbeing and we would like to ask you some questions about your physical activity habits. Your answers will help inform our new Active Wellbeing Strategy and help us understand what barriers may prevent you from being more physically active and what we can do to help overcome these and encourage you to lead a more healthy and active life. Your responses are completely anonymous.

1. To what extent do you agree with the following statement:

2. Which of the following best describes your current attitude towards becoming or being physically active?

Moderate intensity activity will raise your heart rate, make you breathe faster and feel warmer than normal (e.g. brisk walking, cycling).

Vigorous intensity activities will cause adults to get warmer and breathe much harder and their hearts beat rapidly, making it difficult to carry on a conversation (e.g. running, sports such as football, swimming).

3. Over the course of a normal week, do you undertake 150 minutes (two and a half hours) of moderate intensity activity, or 75 minutes of vigorous intensity?

4. How do you undertake most of your physical activity? (Please select all that apply)

5. Looking forward, would you like to do more physical activity/exercise? (Please select an answer to continue)

Yes a lot more

Yes a little more

No not any more

6. Why would you like to undertake more physical activity/exercise? (Please select one main reason)

To improve/maintain my physical health

To improve my mental health/self-esteem

To improve/maintain body tone/shape

To maintain/lose weight

To socialise/meet new friends

For specific health reasons/issues

I enjoy it/Feel good factor

Other (please specify)

7. What activities would you like to do more of? (Please select all that apply)

8. What are the main reasons that are stopping you from doing more? (Please select all that apply)

9. Why don't you want to do more physical exercise/activity? (Please select one main reason)

10. How important are the following for you when considering doing more physical activity/exercise?

11. To what extent would the following encourage you to start doing more physical activity/exercise?

16. If you use a leisure centre or community space, what activities do you participate in? (Please select all that apply)

17. How important are the following factors to you when thinking about accessing leisure facilities?

18. What are the barriers stopping you from using your local facilities or using them more?

19. To what extent would the following encourage you to start using one of these centres, or use them more?

20. If other additional services were provided on the same site as the leisure centre, what would you find helpful?

25. What are the barriers you face in getting them active? (Please select any that apply)

26. What is your full home postcode ?

27. What age are you?

28. What gender are you?

29. Are your day-to-day activities limited because of a health condition or disability which has lasted, or is expected to last, at least 12 months (including any conditions related to old age)?

Yes

Prefer not to say

30. To help us monitor our equal opportunities policy, please indicate to which of these groups you consider that you belong. (Please select one answer only)

31. Would you like to be included in any further research for South Derbyshire? You will only be contacted regarding the leisure facilities provided by us, and your personal contact details will be destroyed within six months.

Yes

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Being physically active has significant benefits for my mental and physical wellbeing.

	Very unimportant	Unimportant	Neutral	Important	Very important
Availability of transport
Availability of time
Direct costs e.g. fees & charges
Indirect costs e.g. clothing
Personal motivation/goals
Having people to be active with
Appropriate classes/activities
Accessible/good quality facilities
Timings/availability of classes/sessions
Activities that cater for cultural/religious reasons
Availability of class information
Activities suitable for disability/physical impairments

	Not encourage	Encourage	Strongly encourage
More information
Lower costs (prices)
Better transport
Better range of facilities/equipment
More childcare facilities
Specific sessions (Quiet/Disability/LGBTQ+/Women)
Wider range of sessions and classes
Classes available at different times of the day
Increased opening times
Improved facilities
Better quality coaching or instruction
Cleanliness of facilities

	Very unimportant	Unimportant	Neutral	Important	Very important
Availability of transport
Availability of time
Direct costs e.g. fees & charges
Indirect costs e.g. clothing
Personal motivation/goals
People to go with
Appropriate classes/activities
Accessible/good quality facilities
Activities suitable for different cultures and religious reasons
Activities suitable for disabilities/physical impairments

	Not encourage	Encourage	Strongly encourage
More information
Lower costs (prices)
Better transport
Better range of facilities/equipment
More childcare facilities
Specific sessions (Quiet/Disability/LGBTQ+/Women)
Accessible facilities for wheelchair users/disabled people
Better programming (i.e. class times)
Improved facilities
Better quality coaching or instruction
Cleanliness of facilities

Active Wellbeing Strategy Community Survey

Questions

ATTITUDES TOWARDS BEING ACTIVE AND YOUR ACTIVITY PATTERNS

1. To what extent do you agree with the following statement:

2. Which of the following best describes your current attitude towards becoming or being physically active?

3. Over the course of a normal week, do you undertake 150 minutes (two and a half hours) of moderate intensity activity, or 75 minutes of vigorous intensity?

4. How do you undertake most of your physical activity? (Please select all that apply)

5. Looking forward, would you like to do more physical activity/exercise? (Please select an answer to continue)

6. Why would you like to undertake more physical activity/exercise? (Please select one main reason)

7. What activities would you like to do more of? (Please select all that apply)

8. What are the main reasons that are stopping you from doing more? (Please select all that apply)

9. Why don't you want to do more physical exercise/activity? (Please select one main reason)

10. How important are the following for you when considering doing more physical activity/exercise?

11. To what extent would the following encourage you to start doing more physical activity/exercise?

LEISURE SERVICES IN SOUTH DERBYSHIRE

12. Do you use a leisure centre? (Please select an answer to continue)

13. Which one/s do you use?

14. Do you use a community space to be active? (Please select an answer to continue)

15. Please specify which community space/s you use:

16. If you use a leisure centre or community space, what activities do you participate in? (Please select all that apply)

17. How important are the following factors to you when thinking about accessing leisure facilities?

18. What are the barriers stopping you from using your local facilities or using them more?

19. To what extent would the following encourage you to start using one of these centres, or use them more?

20. If other additional services were provided on the same site as the leisure centre, what would you find helpful?

ACTIVE TRAVEL

21. Do you wish you could cycle or walk more in your everyday life? (Please select an answer to continue)

22. What would help you to cycle more?

23. What would help you to walk more?

CHILDREN AND YOUNG PEOPLE

We would like to hear the views of parents, guardians and those who work with children about what would help the children they are responsible for to get active.

24. Are you responsible for children under 18? (Please select an answer to continue)

25. What are the barriers you face in getting them active? (Please select any that apply)

DEMOGRAPHICS

26. What is your full home postcode ?

27. What age are you?

28. What gender are you?

29. Are your day-to-day activities limited because of a health condition or disability which has lasted, or is expected to last, at least 12 months (including any conditions related to old age)?

30. To help us monitor our equal opportunities policy, please indicate to which of these groups you consider that you belong. (Please select one answer only)

31. Would you like to be included in any further research for South Derbyshire? You will only be contacted regarding the leisure facilities provided by us, and your personal contact details will be destroyed within six months.

32. Please leave your name and email address or phone number here:

33. Thank you for your time in answering our questions, your responses will support our new Active Wellbeing Strategy. As a thank you we'd like to enter you into a prize draw to win one of five £50 retail vouchers.Would you like to be entered?

34. Please leave your name and email address here:(You will only be contacted regarding the prize draw if you win and your personal contact details will be destroyed within six months)

33. Thank you for your time in answering our questions, your responses will support our new Active Wellbeing Strategy. As a thank you we'd like to enter you into a prize draw to win one of five £50 retail vouchers.

Would you like to be entered?

34. Please leave your name and email address here:
(You will only be contacted regarding the prize draw if you win and your personal contact details will be destroyed within six months)