Weight Management Services in Guernsey & Alderney Survey

Welcome to this survey on Guernsey and Alderney's Weight Management Services.

This survey is aimed to get islanders' opinions of what they want to see in future weight management services to help them lose weight. Please give as much information as you can as there is space for you to add more at the end. All information is held confidentially and will be stored privately.

At the end of the survey there is the option for you to take a quiz to help you determine 'What Physical Activity Personality Are You?' and point you towards some local services that might suit you!

The survey will take approximately 15 minutes to fill in and the quiz at the end will take another 5 minutes.

In the following questions, please select the answer(s) that apply to you. Please note that your responses will be anonymous and that any information you can provide will be used to help us target the best services in the future.

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* 1. Are you?

Male

Female

Don't wish to say

Other (please specify)

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* 2. Which age group do you belong to?

18-24

25-34

35-44

45-54

55-64

65-74

75+

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* 3. Which island do you live on?

Guernsey (Including Herm)

Alderney

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* 4. Approximately, how tall are you?
Please complete one box.

In feet and inches

In metres and centimetres

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* 5. Approximately, how much do you weigh?
Please complete one box.

In stone and pounds

In kilograms and grams

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* 6. How active is your job?

Extremely active (always moving, rarely sat for long)

Quite active

Slightly active

Neither active nor inactive

Slightly inactive

Quite inactive

Not active at all (mainly sitting at a desk or on a computer)

N/A

Extremely active (always moving, rarely sat for long)

Quite active

Slightly active

Neither active nor inactive

Slightly inactive

Quite inactive

Not active at all (mainly sitting at a desk or on a computer)

N/A

Other (please specify)

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* 7. Into which band does your total household income fall, before any deductions or stoppages such as tax and Social Insurance Contributions? (please include all income from salaries or wages from paid work, income from any state benefits, occupational or state pensions and any other income).
Please note that your responses will be anonymous and that any information you can provide will be used to help us target the best services in the future.

<£10,000

£10,000-£19,999

£20,000-£29,999

£30,000-£59,999

£60,000-£99,999

£100,000+

Don't know

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* 8. Based on the image above, which image would you say you currently most identify with?
Please tick one answer.

Other (please specify)

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* 9. Based on the image above, which image would you say is your ideal body image?
Please tick one answer.

Other (please specify)

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* 10. Have you attempted to manage your weight previously?
Which of the following statements regarding weight management generally applies to you?
Please tick one option.

I am always trying to lose weight

I am always being told to lose weight

Every now and again I try to lose weight

I don’t worry about my weight

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* 1. Are you?

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* 2. Which age group do you belong to?

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* 3. Which island do you live on?

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* 4. Approximately, how tall are you?Please complete one box.

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* 5. Approximately, how much do you weigh?Please complete one box.

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* 6. How active is your job?

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* 8. Based on the image above, which image would you say you currently most identify with? Please tick one answer.

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* 9. Based on the image above, which image would you say is your ideal body image? Please tick one answer.

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* 10. Have you attempted to manage your weight previously? Which of the following statements regarding weight management generally applies to you? Please tick one option.

* 4. Approximately, how tall are you?
Please complete one box.

* 5. Approximately, how much do you weigh?
Please complete one box.

* 8. Based on the image above, which image would you say you currently most identify with?
Please tick one answer.

* 9. Based on the image above, which image would you say is your ideal body image?
Please tick one answer.

* 10. Have you attempted to manage your weight previously?
Which of the following statements regarding weight management generally applies to you?
Please tick one option.