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Feedback form
Feedback form
Disclosure
We are collecting the personal information below to evaluate our sessions and programmes. We ask for details such as gender, age and disability in order to ensure that our programmes are inclusive. We also ask for contact details which will allow us to communicate with you in future. If you do not wish to be contacted about future sessions you will not need to provide contact details.
Gender
Male
Female
Prefer not to say
Age
Under 16
16-24
25-34
35-44
45-54
55-64
65+
Do you consider yourself to be disabled?
Yes
No
If yes, how would you describe your disability or long-term health condition?
Sensory impairment
Mental health condition
Mobility impairment
Learning disability
Long standing illness or health condition
Other
What is your language preference?
Please select
Welsh
English
Bilingual
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What Sport RCT project did you participate in?
As a result of taking part, do you feel healthier?
Yes
No
As a result of taking part, do you feel happier?
Yes
No
As a result of taking part, are you now more active, more often?
Yes
No
As a result of taking part, do you feel more confident?
Yes
No
As a result of taking part, have you made new friends?
Yes
No
As a result of taking part, do you now intend to continue taking part in physical activity?
Yes
No
We review all of our projects to make sure that we identify areas to improve upon. Please provide feedback which will help us to improve the success of future projects.
How did you find out about this project?
Word of Mouth
Email
Sport RCT Team
Social Media
Sport RCT Website
If you would like to be contacted about future sessions/projects please provide the following details:
Name:
Email:
Mobile number:
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