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Get up and get moving initiative
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Do you feel this exercise class has been beneficial to your recovery during your hospital stay?
Select one of the following answers
Not at all
Somewhat
Moderately
Completely
2
How to you find the exercises that are included in the class?
Select one of the following answers
Very difficult
Difficult
Neither difficult nor easy
Easy
Very easy
3
Did you enjoy participating in the exercise group?
Select one of the following answers
Not at all
Somewhat
Moderately
Completely
4
Do you think the time of the class (just before 12pm) works well?
Select one of the following
Yes
No
Maybe/sometimes
5
Do you feel that the staff delivering the exercise class are interactive?
Select one answer
Yes
No
Maybe
6
Do you enjoy the group environment?
Select one or answer
Yes
No
Maybe/sometimes
7
Do you enjoy the music that is playing throughout the exercise class?
Select one answer
Yes
No
Maybe/sometimes
8
Do you feel this exercise class has had a positive impact on your mood?
Select one answer
Yes
No
Maybe
Not sure
9
Do you feel this exercise class has been beneficial for your strength?
Select one of the following answers
Yes
No
Maybe
Not sure
10
Do you feel this exercise class has been beneficial for your overall mobility?
Select one of the following answers
Yes
No
Maybe
Not sure
11
What do feel has worked well in the delivery of this group exercise class?
12
What do you feel could be done better in the delivery of this group exercise class?
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