Active Stars: 3 Month Follow-Up Questionnaire

Your details

All fields required

Parent/Carer's Full Name (required)

Child's Full Name (required)

Child's Age (required)

Child's Date of Birth (required)

Child's Gender (required)MaleFemale

Date of course attended (required)

Location of course attended (required)

Email Address (required)

Questionnaire

Have you managed to maintain healthy eating habits / have healthy eating habits developed any further at home as a result of attending Active Stars?
(e.g. an increase in consumption of fruit and veg / a decrease in consumption of sugar / fatty foods).

How often does your child take part in structured physical activity e.g. sport lessons, clubs, swimming?daily2-3 times weeklyonce a weekevery two weeksonce a monthless than once a monthnever

How often is your child active through outdoor play and recreational activities at home?daily2-3 times weeklyonce a weekevery two weeksonce a monthless than once a monthnever

On a typical day, how often does your child play computer games and/or watches television (including watching films etc) for?30 minutes1 hour2 hours4 hours6 hours

Have you and your family used any resources such as the Change 4 Life Sugar app, Vision app, DoMore guide etc, to support the changes you have made?

Do you feel that you and your family need supporting information to enable you to make more healthy changes?

Are you still concerned about your child’s weight?
(If they require further support they can contact their GP to discuss being referred to a more specialist service e.g. Dietetics)

Would you recommend the Active Stars programme to friends/relatives? Why / why not?

Do you have any comments about the Active Stars programme, such as suggestions for improvement / things to include in future programmes?