Melton Sport and Health Alliance

Melton Borough Council will use the data contained on this form to monitor and evaluate sessions to enable us to demonstrate the impact to funders Active Together (local Active Partnership) and Leicestershire County Council; to help improve our activities for the benefit of the local community; and to promote further physical activity opportunities to you from time to time.

* Required Field

Name of Session*:

Name*:

Post Code*:

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

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?*

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

How much do you agree or disagree with the following statements? Please tick one option per row.

I enjoy being active*:

I feel confident when I take part in physical activity*:

How likely are you to continue being physically active*:

I know how to get involved in different types of physical activity*:

My mental health has improved*:

How would you rate your overall experience of participating in the programme?*

What did you enjoy most about the programme?

How do you think the programme could be improved?

Data Protection: For information about how & why we may process your personal data, your data protection rights or how to contact our data protection officer, please view our Privacy Notice (http://www.melton.gov.uk/info/200240/data_protection/1132/privacy_notices/23).
Please note photography and video may be taken at council events, which may be published on social media, promotional material and websites. Although we will always try to make it clear when photographs are taken, if you do not wish to be in any photos or video, please let the instructor know.

Post Questionnaire