Wellbeing & Lifetsyle Questionnaire

Which of the following categories describes your age?

How often do you take part in physical exercise

5-7x/week

3-4x/week

1-2x/week

never

If your participation is lower than you would like it to be, what are the reasons?

Lack of Interest

Illness/Injury

Lack of Time

none of the above

What is your overall general health like?

What does your current exercise regime consist of?

Do you smoke?

Yes

No

Sometimes

prefer not to say

What Health & wellbeing topics are you most interested in?

What other wellbeing options would you choose?

If you were to use these services which one interests you the most?

Mobile - we come to you

Studio Based

Both

If you were interested in these services or someone you may know please feel free to leave your contact details.