Survey

Email (Optional)

Postcode *

Local Council *

Age *

Gender *

Male

Female

Other

Do you identify as Aboriginal or Torres Strait Islander? *

No

Yes - Aboriginal

Yes - Torres Strait Islander

Yes - Aboriginal and Torres Strait Islander

How often are you participating in physical activity?

What is your main barrier/s to keeping physically active? What is your main barrier/s to keeping physically active?

What is your main motivation/s for keeping physically active? What is your main motivation/s for keeping physically active?

How would you rate your overall health? 0 being terrible, 10 excellent couldn't be better.

5

Since attending Move It NQ programs, how much has your health improved? (0- A little, 10- A lot)

5

In the last week, how many days have you done more than 30mins of exercise? (0-7 days)

4

Since participating in Move It NQ programs, how much more physical activity are you completing? (0- A little, 10- A lot)

5

How do you rate the last Move It NQ session you attended?

Please tell us your feedback, suggestions and experience with Move It NQ and how it has helped you!

Do you consent to receiving emails about upcoming classes & program updates / news?

Yes

No

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