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In this short survey we are asking questions about community programmes and activities that support health and well-being in Foleshill, particularly those run by independent community organisations.
We are not asking you to tell us about local NHS services such as GP services.  
Firstly, we would like to know a little bit about you...

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How old are you?

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What gender do you identify with?

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Are you answering about yourself, or you whole family?

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If you are answering about your whole family, how many children/young people live in your home?

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What are the children/young people's ages?
(You may tick more than one)

Questions about your experiences in Foleshill...

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In the last 12 months have you been involved in a community project or event that supports you or your family’s health and well-being?

Here are some you might know, but please add more in the box below if they are not listed here.

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In your opinion are there enough health and well-being activities for you/ your family in Foleshill?
Please tick all that apply.

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Please tell us how you feel about the quality of the health and well-being activities / programmes that you know about in the Foleshill Community

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On a scale 1-5, do you feel able to take steps to improve your own health and well-being?

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On a scale of 1-5, do you feel able to take steps to improve your family’s health and well-being?

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What type of activities would you like to see delivered in Foleshill?

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When & Where should activities be run?
i.e. days, times, locations

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What do you think stops people from Foleshill taking part in physical activity?

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Is there anything extra that would help you to take part in more physical activity?

Thank you for taking the time to complete this short survey. The information provided will go towards making positive change within Foleshill, through the GoFoleshill programme.

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If you would like to be entered into our PRIZE DRAW to be in with the chance of winning tickets to events, gym memberships, The Wave passes and more, please enter your details below.

Your details will not be used for any other correspondence or contact.

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