JUST South Leicestershire

Name*:

In the past week, on how many days have you done a total of 30 minutes or more of physical activity, which was enough to raise your breathing rate?*

This may include sport, exercise and brisk walking or cycling for recreation or to get to and from places but should not include housework or physical activity that may be part of your job.

Over the past week, how may minutes/hours of physical activity have you done in total, which was enough to raise your breathing rate?*

This may include sport, exercise and brisk walking or cycling for recreation or to get to and from places but should not include housework or physical activity that may be part of your job.

In the past week, on how many days have you done exercises that strengthen your muscles?*

This refers to exercises that made your muscles feel some tension, shake or feel warm and that were carried out for 10 minutes or more.

What do you feel has most helped you to be active from the programme?*

Other:

Have you seen any positive impacts as a result of the JUST programme?*

Please tick all that are relevant to you.

Getting fitter stronger or more flexible Enjoying a new activity Improved mental health Meeting new people Improved confidence Weight Management Feeling part of a community Accessing activity on a restricted budget Other positive or negative impacts:

Please could you tell us briefly how this helped you to become more active?

E.g. The regular posts on Facebook motivated me to try different activities I didn't know were happening.

On a scale of 1-10, how much would you say that JUST is responsible for you achieving these results?*

1 being highly unlikely and 10 being highly likely

On a scale of 1-10, what is the likelihood you would have made these changes without participating in the JUST programme anyway?*

1 being highly unlikely and 10 being highly likely

How would you rate the quality of the instructors*:

1 being very poor and 10 being very high

What was your instructor/s name and do you have any feedback (positive or negative) regarding their JUST classes?

How long do you think you will continue to take part in the activities you started with JUST?*

Why / Why not will you continue with the physical activities in JUST:

On a scale of 1-10, how would you rate the JUST website?*

1 being needs improvements and 10 being great.

On a scale of 1-10, how would you rate the JUST social media?*

1 being needs improvement and 10 being great.

What activities would you like to see for JUST 2023?

Suggestions of different Activities and/or locations are welcome.

Further Comments:

Please use this opportunity to state what you liked or disliked about the programme. Try to be as honest as possible.

If you have an inspirational story or journey you want to tell us about, please feel free to write in the box below or contact us.

Contact Details for Prize Draw:

If you would like to enter the draw to win £200 worth of Amazon vouchers and JUST merchandise then please list a phone number or email that is best to contact you on.

The personal information you supply to Blaby District Council and Harborough District Council in this form will be processed in accordance with the General Data Protection Regulation (GDPR) and the Data Protection Act 2018. We may share this information with other council departments, local authorities, government departments or law enforcement organisations to improve service delivery or for the prevention or detection of crime and fraud where the law allows this. Further information on how we handle your personal information can be found at https://www.blaby.gov.uk/your-council/data-security-and-access/data-protection-privacy-notice/ and https://www.harborough.gov.uk/privacy-notice.

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JUST Feedback

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