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Health and Fitness Activity Feedback Questionnaire
Your feedback is important to us at CAMEO and we would like to know what you think about the Health and Fitness Session that you have taken part in.
We want to know what you liked, what you didn’t like and what we can do to improve the sessions. Then we can use this feedback to make sure we are offering you the best opportunities that we can to help you in your recovery.
You will remain anonymous when entering the data on the survey and submitting the answers.
Otherwise you can give the completed paper copy questionnaire to your Care Co-ordinator or directly to us
STR workers. Thanks in advance,
Richard De Rosa
Health & Fitness Activity
In order to design sessions that meet everyone’s needs, please could you answer the questions below:
Are you:
Male
Female
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How old are you?
17-20
21-25
26-30
31-35
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What is your ethnic origin?
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How long have you been with the CAMEO Service?
0-1 year
1-2 years
2-3 years
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Health activities questions
1. How many Health & Fitness activity sessions have you attended?
0-2 sessions
3-6 sessions
7-10 sessions
11 or more sessions
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2. What did you like about the Health & Fitness activity sessions?
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3. What didn’t you like about the Health & Fitness activity sessions?
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4. How has attending the Health & Fitness Sessions helped you in your recovery? (if at all)
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5. What do you think of the Venues?
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6. What would you like to change about the activities?
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7. Were you provided with adequate information about the Health & Fitness activities?
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Coming to the Health & Fitness activity has improved my:
1. Social Skills -ability to meet new people, ability to make conversation & communicate with others
not at all
a little
moderately
quite a lot
very much
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2. Motivation to do Health & Fitness in my time:
not at all
a little
moderately
quite a lot
very much
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3. Health & Fitness levels:
not at all
a little
moderately
quite a lot
very much
****************************************************************************************************
4. Ability to solve problems related to my activities:
not at all
a little
moderately
quite a lot
very much
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5. Self-esteem (how I feel about myself as a person):
not at all
a little
moderately
quite a lot
very much
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6. Mood
not at all
a little
moderately
quite a lot
very much
****************************************************************************************************
7. Anxiety levels
not at all
a little
moderately
quite a lot
very much
****************************************************************************************************
How could we improve the Health & Fitness activities?
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