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Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Name
2
Age
3
Email address
4
Gender
5
Do you live in the Borough of Havant
Select one or more answers
Yes
No
6
In the last 7 days, have you taken part in less than 30 minutes moderate intensity exercise (been slightly out of breath/ red in the face) ?
Select one or more answers
Yes
No
Submit