Exit this survey Physical Activity Partington 1. Please fill out your details Question Title * 1. Your details First Name Last Name Email address Post code Phone number Question Title * 2. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older Question Title * 3. Are you male or female? Male Female Question Title * 4. What would be the best days and time slots for you to take part in physical activity? Mon Tue Wed Thurs Fri Sat Sun 7:00 - 10:00 7:00 - 10:00 Mon 7:00 - 10:00 Tue 7:00 - 10:00 Wed 7:00 - 10:00 Thurs 7:00 - 10:00 Fri 7:00 - 10:00 Sat 7:00 - 10:00 Sun 10:00 - 12:00 10:00 - 12:00 Mon 10:00 - 12:00 Tue 10:00 - 12:00 Wed 10:00 - 12:00 Thurs 10:00 - 12:00 Fri 10:00 - 12:00 Sat 10:00 - 12:00 Sun 12:00 - 15:00 12:00 - 15:00 Mon 12:00 - 15:00 Tue 12:00 - 15:00 Wed 12:00 - 15:00 Thurs 12:00 - 15:00 Fri 12:00 - 15:00 Sat 12:00 - 15:00 Sun 15:00 - 17:00 15:00 - 17:00 Mon 15:00 - 17:00 Tue 15:00 - 17:00 Wed 15:00 - 17:00 Thurs 15:00 - 17:00 Fri 15:00 - 17:00 Sat 15:00 - 17:00 Sun 17:00 - 19:00 17:00 - 19:00 Mon 17:00 - 19:00 Tue 17:00 - 19:00 Wed 17:00 - 19:00 Thurs 17:00 - 19:00 Fri 17:00 - 19:00 Sat 17:00 - 19:00 Sun 19:00 - 21:00 19:00 - 21:00 Mon 19:00 - 21:00 Tue 19:00 - 21:00 Wed 19:00 - 21:00 Thurs 19:00 - 21:00 Fri 19:00 - 21:00 Sat 19:00 - 21:00 Sun 21:00 - 23:00 21:00 - 23:00 Mon 21:00 - 23:00 Tue 21:00 - 23:00 Wed 21:00 - 23:00 Thurs 21:00 - 23:00 Fri 21:00 - 23:00 Sat 21:00 - 23:00 Sun Question Title * 5. Would you be happy to travel to different leisure centres to access the classes? Yes No Not sure Question Title * 6. Which of these activities would you be interested in? Parent and baby Parent and baby (aqua) Circuit (beginner) Circuit (advanced) Pre or post natal Healthy Hips and Hearts (chair-based) Aerobics Aqua Aerobic Yoga Pilates Crossfit Zumba Body Pump Legs Bums and Tums Tia Chi Other (please specify) Question Title * 7. When was the last time you visited Partington leisure centre? 1-3 months 3-6 months 6 months - 9 months 9 months -12 months 12 months + Never Question Title * 8. Where would be the most convenient location for you to participate? School hall (after school hours) School Hall (before school hours) Local church hall Local community centre Leisure centre (Partington) Housing association venue outdoor sessions Question Title * 9. would you be interested in a community class loyalty pass? Yes No Other Question Title * 10. How much would you pay for a class? Question Title Done
