The Get Active Pass Participant Survey

Questionnaire

Q1

What is your Gender?

You must provide an answer to this question.

Q2

Which of the following options describes your employment?

You must provide an answer to this question.

Q3

How did you first find out about the Get Active Pass?

Q4

Which Leisure Centres have you been visiting with the Get Active Pass?

Select at least 1 option.

Q5

Do you have a long-standing illness, disability or infirmity that limits your activity in any way? ( This can be anything that has effected you over a long period of time or that will be affecting you in the future )

You must provide an answer to this question.

Q6

How many free full price Get Active Pass sessions did you use?

You must provide an answer to this question.

Q7

What activities did you use the Get Active Pass for?

Q8

Before receiving the Get Active Pass, how much physical activity or sport did you take part in per week? (This includes sport, brisk walking and cycling from one location to another)

You must provide an answer to this question.

Q9

Please select any from the list that have affected you not using the free entry pass?

Q10

How much physical activity have you done in total in the past week? ( This includes sport, brisk walking and cycling from one location to another).

You must provide an answer to this question.

Q11

Thinking about the Get Active Pass scheme service, please rate the following: (1 poor - 5 excellent).

Select the most applicable option in each row.

  1 2 3 4 5
Clarity of the application form
Time it took to receive the cheques
Clarity of accompanying information
Follow up support



Q12

Have you recommended the chequebook scheme to anyone else?

You must provide an answer to this question.

Q13

Any other feedback?