Thank you for taking part in our survey. The results of this survey will give us a clearer understanding of the needs of disabled young people and adults in Rochdale, in relation to healthy lifestyles and health promotion education.

If you would like to fill out the survey for more than one person, please fill out the survey multiple times.

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* 1. How old are you (or the person you're filling out on behalf of)?
(Please fill out one survey for each person who would like to answer)

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* 2. What do you consider your disability to be?
(Tick all that apply)

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* 3. How often do you take part in sport and/or physical activity?

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* 4. How satisfied are you with the sport and physical opportunities available to disabled adults and young people in Rochdale?

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* 5. Would you like to tell us about the reason for your level of satisfaction above?

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* 6. Are there any sport or physical activity opportunities you would like to see available for disabled people?
Suggestions for sports, physical activity or general health promotion activities.

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* 7. Do you think disabled adults and young people in Rochdale have sufficient access to information about healthy lifestyles?
For example, accessible weight management services, health education workshops

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* 8. Which of the activities below would you be interested in taking part in?
Please tick all that apply.

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* 9. Is there anything in particular that you think we need to consider when planning the activities?

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* 10. Thank you for taking part in our survey, and being part of the conversation to develop new health, physical activity and sporting opportunities for disabled people in Rochdale.

Please provide your email address if you would like to receive the details of any programmes developed for disabled adults and/or young people in Rochdale.

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