Older Adults Activity Survey Northampton Leisure Trust are working with local partners to develop a physical activity programme delivered in the heart of the community in Northampton. To do this we need to gain an understanding of physical activity levels currently undertaken by the community which will help develop future activities in the area. Please help us by completing this short survey. Question Title * 1. Gender Male Female Question Title * 2. Age 50-59 years 60-69 years 70-79 years 80+ years Question Title * 3. Please state your postcode Question Title * 4. The Government’s national recommendations for physical activity are that adults should do at least 30 minutes of moderately intensive exercise 5 times a week to maintain good physical and mental health. On average how many days a week do you currently exercise for a minimum of 30 minutes? 0 1 2 3 4 5 6 7 Question Title * 5. If you are currently doing regular exercise what types of activities are you participating in? Please list them below, or type N/A if you aren’t participating in any exercise Question Title * 6. If you had the opportunity what other forms of physical activity would you be interested in participating in? Question Title * 7. What days and times would be most convenient for you to participate in an activity of your choice? Weekday mornings Weekday afternoons Weekday evenings Weekend mornings Weekend afternoons Question Title * 8. What barriers currently prevent you from participating in any of the activities you’ve stated above that you’d be interested in? Don't know where I can do the activity Can't afford it Transport to get to it Don't think I am capable of doing it Other (please provide more information below) Question Title * 9. Would you be interested in volunteering? Yes No Question Title * 10. Any other comments Thank you very much for helping us with this survey Done
