Compulsory data is indicated by * Personal Information Name * Email Address * Aims/Objectives What do you most want to achieve from phase 3 * Physical Activity In the last week, how many days did you spend doing vigorous PA How much time did you typically spend doing vigorous activity on one of these days In the last week, how many days did you spend doing moderate PA How much time did you typically spend doing moderate activity on one of these days In the last week, how many days did you walk for at least 10 minutes How much time did you typically spend walking on one of these days How much time did you typically spend sitting on a week day EQ5DL-3 Mobility Self Care Usual Activities Pain/Discomfort Anxiety/Depression Medication Since starting the programme… How many times have you visited a Health professional How many items are of your current repeat prescription Leave this field blank Submit
