New Provider Details Question Title * 1. Instructor/Club Name Question Title * 2. Activity/Sport Question Title * 3. Venue / web address (if online) Question Title * 4. Address Address Address 2 City/Town Question Title * 5. Post Code Question Title * 6. Day(s) of Activity/Sport Question Title * 7. Start Time Question Title * 8. Frequency Daily Weekly Fortnightly Monthly Other (please specify) Question Title * 9. Cost Question Title * 10. Contact Number Question Title * 11. Email Question Title * 12. Website Question Title * 13. Intensity (how hard is the average session from 1 (v. low) to 10 (maximal) 0 10 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 14. Impact (how much impact on joints from 1 (ie. seated exercise) to 10 (ie. parkour) 0 10 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 15. Social (what social opportunity is there in the activity itself from 1 (no/limited interaction) to 10 (social throughout) 0 10 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 16. Inclusive (accessible for people with conditions and/or additional needs) Yes No Question Title * 17. Restrictions & Requirements (venue accessibility; specific clothing etc) Question Title * 18. Do you hold a L3 GP Referral qualification? Yes No Question Title * 19. Any further info Question Title * 20. Equipment requirements Question Title * 21. Brief Activity Description Question Title * 22. Parking Situation at Venue Done