Moving More Survey

In a usual week, how much do you move in your everyday life?This includes walking, moving around at home, work, travel, or any other physical activity.

Very little

A small amount (less than 30 minutes a week)

A moderate amount (30 to 149 minutes a week)

A lot (150 minutes or more per week)

Which statement best describes how you feel about moving more?

I am happy with how much I move

I would like to move more

I am trying to move more

I am not able to move more at the moment

Would you like to work on moving more at the moment?

Yes

What makes it harder to move more(Tick any/all that apply)

Pain, illness, or physical health problems

Mental health, stress, or low mood

Tiredness or low energy

Lack of time

Cost

Concern about injury or making a health condition worse

Not sure what type of movement is safe or right for me

Lack of local opportunities or transport

Other (free text)

What else stops you from moving more? Optional

What support would help you to move more?(Tick any/all that apply)

Advice from a GP, nurse, or other healthcare professional

A simple plan that fits into my daily life

Support to manage pain or a long‑term condition

Information about local activities or groups

Support with motivation, confidence, or mental wellbeing

Referral to local services or social prescribing

Follow‑up or check‑ins from the practice

Other (free text)

How else might we help you to move more? Optional

What ways of moving more might work for you?(Tick any/all that apply)

Walking

Moving more at home

Strength or balance activities

Swimming

Cycling

Group activities

Activities on my own

I am not sure

Would you like support from the practice to help you move more, now or in the future?

Yes

Maybe

Not at the moment

Is there anything else you would like us to know about your health or moving more? OptionalPlease don’t use this form to ask for appointments or medical advice as it is not monitored routinely and we can’t respond here.

Email OptionalIf you’d like more information about survey results and what we do with them, please tell us your email address.

Why we are asking

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