Children and Young People Club Participant Feedback Progression Form- Week 12

Children And Young People Club Participant Feedback Form

Please take a few minutes to complete this feedback form – this is to help us make the Children and Young People Club programme better for you in the future.

Children And Young People Club Participant Feedback Form

Only complete this form if a parent has said you can.

(Form to be completed by participant only if parental consent has been obtained)

                                                            Barriers to Physical Activity
                                                                      Tell us about yourself
Other, (please specify)

                                                               Sport and Physical Activity

If yes, please tell us what sessions you attend
If yes, what sports would you like to take part in?

                                                                           Safety of Sessions

(Think about how the coaches communicate with you, explain the session and adapt the drills to suit your needs)

(Limited to 100 words)


Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) © NHS Health Scotland, The University of Warwick and University of Edinburgh, 2006, all rights reserved.

None of the timeRarelySome of the timeOftenAll of the time
I’ve been feeling optimistic about the future
I’ve been feeling useful
I’ve been feeling relaxed
I’ve been dealing with my problems well
I’ve been thinking clearly
I’ve been feeling close to other people
I’ve been able to make up my own mind about things

                                                       Office for National Statistics (ONS)

Overall how satisfied are you with your life nowadays?
Overall, to what extent do you feel that the things you do in your life are worthwhile?
Overall how happy did you feel yesterday?
n a scale where 0 is “not at all anxious” and 10 is “completely anxious,” overall how anxious did you feel yesterday?
                                                       Feedback and Future Opportunities

(Limited to 150 words)

(Limited to 150 words)

(Limited to 150 words)


teamBEDS&LUTON will collect and process all personal data in line with the Data Protection Act 1998 and there is more information on teamBEDS&LUTON website (