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Exercise Survey

These questions are designed to assess your beliefs and expectations around exercise.

By understanding the factors that either enable or restrict activity levels amongst people with neuromuscular conditions, we hope to find better ways to promote healthy lifestyles.

It should around 10 minutes to complete.

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ABOUT YOU


Please answer the following questions to help us collect demographics

What date did/do you have an appointment with us?

This relates to your routine review with the John Walton Muscular Dystrophy Research Centre. You can use either your next or your most recent appointment date.

What is your year of birth?

e.g. 1985

What are your initials?

First letter of your first and last name, e.g. MO
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DEFINITION


This survey will ask about your relationship with exercise.

Please consider the below definition before proceeding:


'Exercise is any physically demanding activity that is done with the aim of maintaining or improving health, function or movement.'


As well as 'conventional' exercise, this can include day-to-day activities (e.g. cycling, taking the stairs, getting dressed) if they are done with an exercise intention.

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HOW MUCH DO YOU EXERCISE?


Please answer the following three questions about your exercise activities in an average week.


Some activities cover a combination of exercise types.

(e.g. Yoga can be both strengthening and stretching).

Please use the type that represents the main aim of that activity for you.


The intensity of an activity is personal to you:

- Moderate = Increased heart rate. Can talk, but cannot sing.

- Vigorous = Significantly increased heart rate. Cannot talk in full sentences.

Aerobic exercise

Select the highest answer which applies to you

Strength and flexibility exercise

Select one answer

Where do you complete your weekly exercise?

Select all that apply. Remember, this is any activity done with the aim of improving or maintaining fitness/function

Anything else to add?

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BELIEFS AROUND EXERCISE


We know that people living with neuromuscular conditions are often less active than the general population, rarely meeting the recommended levels of activity.

The reasons for this need further investigation.


The following 10 statements explore factors which influence your ability to exercise.

Please consider and rate each statement in turn, relating to an average week for you.

CAPABILITY

I have the physical capability to exercise

i.e. Physical strength, movement and stamina
0
Strongly Disagree
Strongly Agree

I have the cognitive capability to exercise

i.e. The appropriate memory, attention and planning skills
0
Strongly Disagree
Strongly Agree

OPPORTUNITY

It is normal within my social circles and culture to exercise

0
Strongly Disagree
Strongly Agree

Healthcare professionals encourage me to exercise

0
Strongly Disagree
Strongly Agree

I have enough time to exercise

0
Strongly Disagree
Strongly Agree

I have enough money to exercise

0
Strongly Disagree
Strongly Agree

I have access to the facilities, equipment and support required to exercise

0
Strongly Disagree
Strongly Agree

MOTIVATION

I have a desire to exercise

0
Strongly Disagree
Strongly Agree

Exercising is automatic for me

It is a natural habit for me, or my life/job demands it
0
Strongly Disagree
Strongly Agree

I believe that exercise is safe and beneficial for me

0
Strongly Disagree
Strongly Agree

Anything else to add?

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RESPONSE TO EXERCISE


Finally, these two questions explore your expectations of the benefits or risks of exercising.

Please indicate any POSITIVE responses you would expect as a result of exercise

Select one or more answers

Please indicate any NEGATIVE responses you would expect as a result of exercise

Select one or more answers

If you would be happy discuss these topics further in the future, please provide your contact details below

Email address (preferred) or phone number
Thank you for your time!