Congenital Heart Disease Physical Activity Toolkit Survey

Your feedback is essential to us. You can make the difference to others by filling in this short survey.

Your Toolkit has been provided by Heart Research UK and was developed with the help of clinicians and researchers at the University of Exeter.

All data provided will be used anonymously for research purposes and to help improve our resources.

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* 1. Age of person with CHD

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* 2. Are you completing this survey as a parent/carer on behalf of your child?

Yes

No, I am the person with CHD

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* 3. Name of heart condition

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* 4. Hospital that you attend for CHD

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* 5. Toolkit(s) received (please tick all that apply)

Young Person's Booklet

Parents/Carers Booklet

Adult Patient Booklet

School/Teacher/Club Booklet

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* 6. Prior to reading the booklet what was the person with CHD's general attitude towards physical activity?
0 being very negative, 100 being very positive

100

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 7. After reading the booklet what was the person with CHD's general attitude towards physical activity?
0 being very negative, 100 being very positive.

100

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 8. Prior to reading the booklet what was the person with CHD's general attitude towards physical activity?
0 being very negative, 100 being very positive.

100

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 9. After reading the booklet what was the person with CHD's general attitude towards physical activity?
0 being very negative, 100 being very positive.

100

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 10. Prior to reading the booklet please rate the person with CHD's knowledge of exercising with a heart condition

Didn't know anything about it

Very little knowledge

Moderate knowledge

Good level of knowledge

Very good level of knowledge

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* 11. After reading the booklet please rate the person with CHD's knowledge of exercising with a heart condition

Don't know anything about it

Very little knowledge

Moderate knowledge

Good level of knowledge

Very good level of knowledge

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* 12. Prior to reading the booklet, please rate the person with CHD's confidence in exercising with a heart condition

No confidence

Little confidence

Moderate confidence

High confidence

Very high confidence

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* 13. After reading the booklet, please rate the person with CHD's confidence in exercising with a heart condition

No confidence

Little confidence

Moderate confidence

High confidence

Very high confidence

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* 14. Were any sections of the Toolkit particularly useful?

Yes

If yes, which ones?

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* 15. Were any sections of the Toolkit difficult to understand?

Yes

If yes, which ones?

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* 16. Did you learn anything new from reading the Toolkit?

Yes

If yes, what did you learn?

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* 17. Has reading the Toolkit changed the type, the frequency or the duration of physical activity that the person with CHD does?

Yes

If not, why do you think this is the case?

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* 18. After reading the Toolkit, does the person with CHD...

Do more physical activity

Do less physical activity

Do the same amount of physical activity

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* 19. If the person with CHD's physical activities have changed, please choose any of the following which apply:

Does more high intensity physical activity (e.g. team sports, running)

Does less high intensity physical activity (e.g. team sports, running)

Does more moderate intensity physical activity (e.g. jogging, cycling)

Does less moderate intensity physical activity (e.g. jogging, cycling)

Does more light intensity physical activity (e.g. walking)

Does less light intensity physical activity (e.g. walking)

Joined a sports club or sports team

Joined a gym

None of these options

Other (please specify)

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* 20. How likely are you to refer to the resources again?

Extremely likely

Likely

Neither likely nor unlikely

Not likely

Not at all likely

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* 21. If you are a parent of a child with CHD do you have any further comments to make?

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* 22. Has reading the Toolkit enhanced your understanding of exercise for CHD?

Yes

Congenital Heart Disease Physical Activity Toolkit Survey

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* 1. Age of person with CHD

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* 2. Are you completing this survey as a parent/carer on behalf of your child?

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* 3. Name of heart condition

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* 4. Hospital that you attend for CHD

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* 5. Toolkit(s) received (please tick all that apply)

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* 6. Prior to reading the booklet what was the person with CHD's general attitude towards physical activity?0 being very negative, 100 being very positive

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* 7. After reading the booklet what was the person with CHD's general attitude towards physical activity?0 being very negative, 100 being very positive.

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* 8. Prior to reading the booklet what was the person with CHD's general attitude towards physical activity?0 being very negative, 100 being very positive.

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* 9. After reading the booklet what was the person with CHD's general attitude towards physical activity?0 being very negative, 100 being very positive.

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* 10. Prior to reading the booklet please rate the person with CHD's knowledge of exercising with a heart condition

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* 11. After reading the booklet please rate the person with CHD's knowledge of exercising with a heart condition

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* 12. Prior to reading the booklet, please rate the person with CHD's confidence in exercising with a heart condition

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* 13. After reading the booklet, please rate the person with CHD's confidence in exercising with a heart condition

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* 14. Were any sections of the Toolkit particularly useful?

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* 15. Were any sections of the Toolkit difficult to understand?

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* 16. Did you learn anything new from reading the Toolkit?

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* 17. Has reading the Toolkit changed the type, the frequency or the duration of physical activity that the person with CHD does?

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* 18. After reading the Toolkit, does the person with CHD...

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* 19. If the person with CHD's physical activities have changed, please choose any of the following which apply:

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* 20. How likely are you to refer to the resources again?

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* 21. If you are a parent of a child with CHD do you have any further comments to make?

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* 22. Has reading the Toolkit enhanced your understanding of exercise for CHD?

* 6. Prior to reading the booklet what was the person with CHD's general attitude towards physical activity?
0 being very negative, 100 being very positive

* 7. After reading the booklet what was the person with CHD's general attitude towards physical activity?
0 being very negative, 100 being very positive.

* 8. Prior to reading the booklet what was the person with CHD's general attitude towards physical activity?
0 being very negative, 100 being very positive.

* 9. After reading the booklet what was the person with CHD's general attitude towards physical activity?
0 being very negative, 100 being very positive.