Type 1 Diabetes Active Survey Type 1 Diabetes Active survey Question Title * 1. What is your gender? Female Male Prefer not to say OK Question Title * 2. Age? 0-11 12-17 18-24 25-34 35-44 45-54 55-64 65+ OK Question Title * 3. How many years have you had type 1 diabetes for? 0 100 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 4. Are you physically active within a sport or exercise? Yes No OK Question Title * 5. On a scale of 1-10, how would you rate your levels of activity? (1 = inactive, 10=Extremely Active) 0 10 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 6. If you answered yes to question 5, Which sport or exercise do you take part in? OK Question Title * 7. To what extent do you agree with the following statement. Hypoglycaemia affects my ability to exercise regularly. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 8. To what extent do you agree with the following statement. The potential of experiencing Hypoglycaemia affects my confidence to exercise regularly. Strongly agree Agree Neither agree nor disagree Disagree Strongly Disagree OK Question Title * 9. On a scale of 1-10, How confident are you at managing your blood glucose levels during and after exercise? (1 being not at all, 10 being very confident) 0 10 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 10. Do you believe there should be more help, support and information available surrounding sport and exercise for people with type 1 Diabetes? Yes No OK DONE