Congenital Heart Disease Physical Activity Toolkit 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.

We value your feedback and would be extremely grateful if you could complete this five minute survey.

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

Question Title

* 1. Age of person with CHD

Question Title

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

Yes

No, I am the person with CHD

Question Title

* 3. Name of heart condition

Question Title

* 4. Hospital that you attend for CHD

Question Title

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

Young Person's Booklet

Parents/Carers Booklet

Adult Patient Booklet

School/Teacher/Club Booklet

Exercise Prescription Form

Question Title

* 6. Prior to reading the booklet what was the person with CHD's general attitude towards physical activity?

Very negative

Negative

Neutral

Positive

Very positive

Question Title

* 7. After reading the booklet please rate the person with CHD's general attitude towards physical activity

Very negative

Negative

Neutral

Positive

Very positive

Question Title

* 8. 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

Question Title

* 9. 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

Question Title

* 10. 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

Question Title

* 11. 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

Question Title

* 12. Did a clinician complete a Physical Activity Recommendations Form for the person with CHD?

Yes

Not sure

Question Title

* 13. If yes, how useful did you find it?

Not at all useful

Not that useful

Neutral

Useful

Extremely useful

Not applicable - did not receive an Exercise Prescription Form

Question Title

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

Yes

If yes, which ones?

Question Title

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

Yes

If yes, which ones?

Question Title

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

Yes

If yes, what did you learn?

Question Title

* 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?

Question Title

* 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

Question Title

* 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)

Question Title

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

Extremely likely

Likely

Neither likely nor unlikely

Not likely

Not at all likely

Question Title

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

Question Title

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

Yes