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Fall-proof: Share your story

Help inspire others and share your Fall-proof story to receive a prize worth up to £25.

We are hoping to learn from and share people's experiences of the Fall-proof exercises to help encourage others to be active. 

Please fill in the form below and attach a picture or video of yourself doing an exercise from the Fall-proof strength and balance booklet to receive your choice of prize. Prize details can be found below. 
1.Tell us a bit about yourself, including your name.
2.How do you like to keep active?
3.How did you find out about the Fall-proof strength and balance exercises?
4.Have you noticed any difference in yourself since you started doing the Fall-proof strength and balance exercises? If the answer is yes, please describe this in more detail below. 
5.Would you recommend Fall-proof to a friend?
6.If you were to recommend Fall-proof to someone, what would you say?
7.When do you do your Fall-proof exercises? e.g. while cooking dinner, on the phone, etc.
8.Please upload a picture or short video of yourself doing one of the Fall-proof strength and balance exercises at home. (Required.)
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9.Please tick the box below to confirm which prize option you would like to receive.(Required.)
10.To make sure we are able to contact you regarding your choice of prize, please confirm your email address and/or telephone number below.(Required.)
11.Would you be happy for us to contact you about your story? (Required.)
12.Please tick the box below to confirm that you give your consent for the information you have provided about Fall-proof to be shared. For more information on how your information will be used, read our full Privacy policy here.(Required.)
Thank you for taking the time to share your Fall-proof story. We will be in touch about your choice or prize. If you have any questions, please contact us at fallproofme@activegloucestershire.org.
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