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* 1. Instructor/Club Name

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* 2. Activity/Sport

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* 3. Venue / web address (if online)

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* 4. Address

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* 5. Post Code

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* 6. Day(s) of Activity/Sport

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* 7. Start Time

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* 8. Frequency

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* 9. Cost

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* 10. Contact Number

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* 11. Email

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* 12. Website

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* 13. Intensity (how hard is the average session from 1 (v. low) to 10 (maximal)

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 14. Impact (how much impact on joints from 1 (ie. seated exercise) to 10 (ie. parkour)

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 15. Social (what social opportunity is there in the activity itself from 1 (no/limited interaction) to 10 (social throughout)

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 16. Inclusive (accessible for people with conditions and/or additional needs)

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* 17. Restrictions & Requirements (venue accessibility; specific clothing etc)

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* 18. Do you hold a L3 GP Referral qualification?

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* 19. Any further info

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* 20. Equipment requirements

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* 21. Brief Activity Description

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* 22. Parking Situation at Venue

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