.
Physical Activity Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
Start
Secured
Survio
1
What do you need to participate in physical activities?
Please select all that apply.
Activity booklet
Registration form
Notices
2
Which physical activities do you prefer to do on a normal day?
Please select all that apply.
Gymnastics
Cycling
Walking
Shuffleboard
Bowling
Table exercises
Other
3
Are there any physical activities that you are less interested in?
Please select all that apply.
Gymnastics
Cycling
Walking
Shuffleboard
Bowling
Table exercises
Other
4
Do you consciously try to add some extra physical activity to your day?
Please select one option.
Yes
No
5
Would you like to engage in physical activities more often?
Please select one option.
Yes
No
Submit