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. OK Question Title * 1. Age of person with CHD OK 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 OK Question Title * 3. Name of heart condition OK Question Title * 4. Hospital that you attend for CHD OK 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 OK 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 OK 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 OK 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 OK 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 OK 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 OK 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 OK Question Title * 12. Did a clinician complete a Physical Activity Recommendations Form for the person with CHD? Yes No Not sure OK 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 OK Question Title * 14. Were any sections of the Toolkit particularly useful? Yes No If yes, which ones? OK Question Title * 15. Were any sections of the Toolkit difficult to understand? Yes No If yes, which ones? OK Question Title * 16. Did you learn anything new from reading the Toolkit? Yes No If yes, what did you learn? OK 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 No If not, why do you think this is the case? OK 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 OK 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) OK 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 OK Question Title * 21. If you are a parent of a child with CHD do you have any further comments to make? OK Question Title * 22. Has reading the Toolkit enhanced your understanding of exercise for CHD? Yes No OK MANY THANKS FOR COMPLETING THIS SURVEY. CLICK HERE TO FINISH.