Active Conversation

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NOTE FOR MENTORS – HAPPENS WITHIN FIRST 3 WEEKS OF THE PROGRAMME.

Health & Wellbeing - Where are you now?

We ask these questions as the Moving forward together team is interested in how physically active you are now and your current health and wellbeing.

We are not just here to offer employment and training support we can offer people the opportunity to get more active and improve their mental and physical health.

We ask everyone on moving forward together these questions whether you want to get active or not.

Date
Venue
Participant Forename*	Forename is required
Participant Surname*	Surname is required
Participant REF	0
Mentor
Mentor Contact Number

How Active are you at the moment?

These are just a few quick questions to find out how often you are physically active, we can support you to get more active and connect you with new opportunities if you are interested

In the past 7 days, have you done any of these activities?

A continuous walk lasting at least 10 minutes

Yes No

A Cycle Ride

Yes No

A sport, fitness Activity (such as gym or fitness classes) or dance

Yes No

None of the above

Do you want to get more active?

Yes No

How much time did you usually spend doing sport, fitness activities, or dance on each day that you did the activity? (Hrs/mins)