6 Month Questionnaire

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Thank you for choosing to take part in the PAL Scheme. It is important for us to see how you are doing in the scheme and how it affects your physical activity, health and quality of life. In order to do this we need you to answer some questions. We would really appreciate it if you would take some time to answer these questions.

There are 6 sections in the questionnaire. This should take no more than 15 minutes of your time.

Thank you, The PAL Scheme.

Personal Details and Contact Information

Before you start, please check that the details that we hold for you are correct:

Gender:
Age:

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Work Address

Contact Telephone No.:
Mobile No.:

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Section 1/6: Demographics