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. 1. Participant Name:* (Form to be completed by participant only if parental consent has been obtained) 2. Today's Date:* - 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st - January February March April May June July August September October November December - 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 3. Name of Children and Young People Club attending:* Barriers to Physical Activity 4. What has stopped you from taking part in physical activity before?(Tick all that apply)*: Forgetfulness Knowing where to go Injury Skills/Stamina Time Confidence Low mood Too busy Friends to go with Family Transport Cost Other Other Tell us about yourself 5. How long have you been participating in this Children and Young People Club? (Please tick)*: Never 3 weeks or less 1-3 months 4-6 months 7 months- 1 year More than a year 6. Why have you chosen to take part? (Tick all that apply)*: Make new friends Try something new Learn new skills Reduce low mood Become fitter Enjoyment Improve relaxation Lose weight Improve confidence Other Other, (please specify) Sport and Physical Activity 7. Aside from this Children and Young People Club, do you attend any other sport and physical activity sessions?* Yes No If yes, please tell us what sessions you attend 8. Would you be interested in joining a local sports club: Yes No If yes, what sports would you like to take part in? 9. During the last 7 days, on how many days did you take part in any sport or physical activity?* - Choose - 0 1 2 3 4 5 6 7 10. During the last 7 days, how much time did you spend doing sport & physical activity in total?* Safety of Sessions 11. Do you think the venue is suitable for the activity and session?* - Choose - Yes No 12. Do you know who to go to if you have a concern or are worried about anything?* - Choose - Yes No 13. How do you feel the sessions are organised for your individual ability?* (Think about how the coaches communicate with you, explain the session and adapt the drills to suit your needs) (Limited to 100 words) Wellbeing 14. Below are seven statements about thoughts and feelings. Please mark a cross in the box that best describes your experience of each over the last two weeks.* 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 timeI’ve been feeling optimistic about the future None of the time Rarely Some of the time Often All of the time I’ve been feeling useful None of the time Rarely Some of the time Often All of the time I’ve been feeling relaxed None of the time Rarely Some of the time Often All of the time I’ve been dealing with my problems well None of the time Rarely Some of the time Often All of the time I’ve been thinking clearly None of the time Rarely Some of the time Often All of the time I’ve been feeling close to other people None of the time Rarely Some of the time Often All of the time I’ve been able to make up my own mind about things None of the time Rarely Some of the time Often All of the time 15. Finally, please answer the following four questions about your feelings on aspects of your life. There are no right or wrong answers. For each question please give an answer on a scale of 0-10, where ‘0’ is “not at all” and ‘10’ is “completely.”*: Office for National Statistics (ONS) 0-10Overall 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 16. What did you enjoy about this physical activity session?* (Limited to 150 words) 17. What has stopped you from taking part in this session in the past?* (Limited to 150 words) 18. What do you think we can do better for next time?* (Limited to 150 words) 19. What would encourage you to take part in sport and physical activity sessions in the future? (Please Tick)*: Family session Discounts for future sessions Free session Female/male only sessions Session at the same time with family member at same venue Recognition or awards at the end Competition with other participants or other groups Female coach Male coach Mixed sessions Other 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 (https://www.teambedsandluton.co.uk/)