Project ME • Community Wellbeing

Zumba Wellbeing Check-in

Please complete this short questionnaire after the Zumba class. It should take about 2 minutes.

Wellbeing questionnaire

Please answer the questions below.

Project ME Zumba Wellbeing Questionnaire

Please complete this short wellbeing questionnaire. Your answers help OAKonsult understand the needs of people attending Project ME activities. Please do not include detailed medical information.

Full name

Email address

On a scale of 1 to 10, how would you rate your general wellbeing today?

How often do you feel isolated or lonely?

How confident do you feel managing your wellbeing day to day?

How often do you take part in physical or community activities?

Additional comments

I consent to OAKonsult using my responses to understand participant wellbeing and improve Project ME activities.

Project ME Zumba Wellbeing Questionnaire

Zumba Wellbeing Check-in

Wellbeing questionnaire

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