Recreation Study

SECTION 5: RESPONDENT’S HEALTH30. How would you rate your healthgenerally?READ OPTIONSVery poor Poor Average Good Very goodCIRCLE ONE ONLY 1 2 3 4 531. Which option best describesyour level of physical activity inan average week?Not activeat allOccasionallyactiveRegularlyactiveVery activeREAD OPTIONS(No physicalexercise throughoutthe week)(30min physicalexercise1-2 daysp/week)(30min physicalexercise 3-4 daysp/week)(30min exercise5 days p/week)CIRCLE ONE ONLY 1 2 3 432. Do you currently belong to a gym? CIRCLE ONE ONLYYES 1NO 2SECTION 6: PARTICIPATION OF CHILDREN IN SPORT & RECREATION33. Do you have children, grandchildren or a child you look after? CIRCLE ONE ONLYYES 1NO 2 Go to Question 4634. Please indicate the number of children and their gender accordingto the following age groups.TEXT RESPONSE0-3 years 4-8 years 9-12 years 13-15 years 16-18 yearsMale Female Male Female Male Female Male Female Male Female35. Which option best describes yourchild/children’s level of physicalactivity in an average week?READ OPTIONSNot active at all(No physical exercisethroughout theweek)Occasionallyactive(30min physicalexercise1-2 daysp/week)Regularlyactive(30minphysicalexercise 3-4days p/week)Very active(30min exercise 5days p/week)CIRCLE ONE ONLY 1 2 3 4114 CITY OF CAPE TOWN RECREATION STUDY