Name *

First Name

Last Name

How long has it been since you were first diagnosed with Parkinson's?

<1 year

1-2 years

2-3 years

3-5 years

5-10 years

>10 years

Have you enjoyed taking part in the Nordic Walk Sessions?

Yes

No

What benefits have you felt from the sessions? (please tick all that apply)

My posture has improved

I feel more confident walking

I enjoy the social side of the sessions

My balance has improved

My coordination has improved

I haven't felt any benefits

My mobility has improved

My speed of movement has improved

Which of these statements about the sessions are true for you? (please tick all that apply)

The timing of the activity was right for me

The duration of the activity was right for me

The activity challenged me at the right level

The activity met my expectations

The types of activities offered during the session was varied and enjoyable

The instructor was knowledgeable about my condition

The instructor was able to alter the activity to suit my needs

Being active with other people with Parkinson's is important to me

Have you used the poles in your own time?

yes, lots

yes, sometimes

no

Following on from learning the basics of Nordic Walking with a trained instructor, would you be interested in joining a weekly, social, Nordic walk led by volunteers?

yes

no

maybe