Oxford City's GO Active, Get Healthy is a programme available specifically for people with diabetes to help motivate and support you to become more physically active; offering a range of great classes and opportunities as well as access to free motivational coaching sessions, incentive vouchers, long term support through our County Sports Partnership. To help us ensure we deliver a fantastic programme and provide the right type of activity at convenient times and locations; we very much need your feedback and guidance. Thank you for taking the time to complete this survey.

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* 1. What type of diabetes have you been diagnosed with?

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* 2. On how many days in the last week, have you done a total of 30 minutes or more of physical activity, which was enough to raise your breathing rate and break out in a sweat?

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* 3. How important is it to you to be physically active?

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* 4. What motivates you to be physically active? (Please select all which apply)

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* 5. What stops you being more physically active? (Please select all which apply)

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* 6. Which of the following activities do you currently take part in?

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* 7. Which of the following activities would you like to take part in?

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* 8. Where would you like to access the provision of physical activities?

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* 9. What is your gender?

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* 10. What is your age?

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* 11. What is your ethnic group?

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* 12. If you would like to discuss how we can support you to become more active, please leave your name and contact number or email below.

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