ALBRF Participant Questionnaire Question Title * 1. Date of Birth Date of birth Date OK Question Title * 2. Gender Male Female OK Question Title * 3. Address Address Line 1 Postcode OK Question Title * 4. In the past week, how many days have you done 30 mins or more of physical activity (enough to raise your breathing rate) - Includes sport, exercise and brisk walking / cycling but NOT housework or anything you do as part of your job 0 1 2 3 4 5 6 7 0 1 2 3 4 5 6 7 OK Question Title * 5. Do you currently take part in any of our ALBRF activity sessions? Yes No Used to - but don't any more OK Question Title * 6. Following on from question 5: If 'yes', what sessions do you do? If 'no', what has stopped you? If 'Used to - but don't any more', why have you stopped? OK Question Title * 7. What days of the week would you prefer sessions (Please choose your top 3) Monday Tuesday Wednesday Thursday Friday Saturday Sunday OK Question Title * 8. What time period would you prefer sessions to run? (Please choose your top 2) 8.00 - 10.00 10.00 - 12.00 12.00 - 3.00 3.00 - 5.00 5.00 - 7.00 7.00 - 9.00 OK Question Title * 9. How long would you prefer sessions to run for? 30 minutes 45 minutes 1 hour 1 hour 30 minutes 1 hour 45 minutes 2 hours Other (please specify) OK Question Title * 10. Where would you prefer to do sessions? (Please tick all that apply) Braunstone Grove Ellesmere College Braunstone Park / Open Spaces BRITE Centre Streets Braunstone Leisure Centre Riverside 3g Pitch Oak Centre Manor House Churches Fullhurst Community College Schools / Children's Centres Cort Crescent Community Centre Working Men's Clubs Other (please specify) OK Question Title * 11. What sports / actitivites would you like to do? (Please tick all that apply) Boxing / Boxercise Dance Football Basketball Multi-Sports Lacrosse Yoga / Pilates Ultimate Frisbee Dodgeball Cricket Table Tennis Tennis Circuits Bootcamps Zumba Running / Jogging Power Walking Futsal Outdoor Gym Armchair Exercises Street Sports Cycling Fit Steps Rounders Athletics Netball Badminton Other (please specify) OK Question Title * 12. Would you be interested in any of the following: Women only sessions 50+ years sessions Youth sessions (14-24 years) Family Sessions Training and/or volunteering in sport Sessions ran around school times Men only sessions Adult only sessions Apprenticeships within sport Helping to run sessions in the future None of the above Other (please specify) OK Question Title * 13. Please enter your email address here if you would like contacting in the future about project sessions, events and latest news OK Thank you for your time! This info will help us make the project even better!! OK DONE