2019 Physical Activity Survey - to be completed by people with disabilities living in Tyne & Wear

The aim of the 2019 Physical Activity Survey is to help gain a better understanding of how active disabled people currently are in Tyne & Wear, what further provision and opportunities disabled people would like to see, and what barriers (if any) are applicable to disabled people taking part in sport / physical activity in Tyne & Wear.

The survey should take no more than 5-10 minutes to complete. Thank you for your help.

Question Title

* 1. What is your name?

Question Title

* 2. What is your email address? (Please note that if you provide your email address it may be shared with relevant parties and they may contact you in the future regarding physical activity opportunities; your contact information will not be used by us for any other purposes than that described)

Question Title

* 3. How old are you?

Under 18

18 - 30

31 - 45

46 - 60

Over 60

Question Title

* 4. Where do you currently live?

Newcastle

Gateshead

North Tyneside

South Tyneside

Sunderland

Other (please specify)

Question Title

* 5. What disability / disabilities do you have? (Please tick all that apply)

Physical disability

Hearing impairment

Visual impairment

Learning disability

Mental health impairment

Cerebral Palsy

Other (please specify)

Question Title

* 6. How much physical activity do you currently do in a normal week?

Less than 30 minutes of physical activity per week

Between 30 - 149 minutes of physical activity per week

150 minutes or more of physical activity per week

Question Title

* 7. Would you like the opportunity to take part in some different/new sports and physical activities?

Yes