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Tai Chi

Customer Feedback Survey - Active & Healthy

As one of our valued Active & Healthy participants we would be delighted if you could assist us in providing your feedback about your experiences with the Active & Healthy Program.  

Your input will help shape the future of the Active & Healthy Program and to ensure that we can continue to meet your health and wellness needs. 

We value your feedback and your support of the Active & Healthy Program.

Thanking you 

1.  

On average, how often do you or your household participate in any Active & Healthy activities?

* required
2.  

How long have your been participating in Active & Healthy activities?

* required
3.  

What types of activities have you participated in? Please tick all that you have tried.  

Maximum 255 characters

0/255

5.  

Is your participation in Active & Healthy activities your only exercise/activity for the week?

6.  

If no, how many times a week do you do targeted exercise, movement or physical activity for 30 minutes or more?

7.  

How far do you travel on average to attend an Active & Healthy activity?

* required

Maximum 255 characters

0/255

Quality of the activity
Quality of the instructor
Benefit that the activity provides you
Activity location
Cost of the activity
10.  

What do you find most valuable or rewarding about participating in Active & Healthy activities? (Please select a maximum of 5)

Please select a number from 1 to 10 that shows how likely that you would recommend the program. From 0 not likely at all to 10 extremely likely
12.  

How did you hear about the Active & Healthy Program? Please select one answer only.

13.  

What are the three most influential factors that may have prevented you or your household from participating in Active & Healthy activities that you would like to attend?.

Maximum 255 characters

0/255

Maximum 255 characters

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PLEASE TELL US ABOUT YOURSELF 

16.  

Which gender do you identify with?

* required
17.  

Please indicate your age bracket.

* required
Select option

Maximum 255 characters

0/255