Active Youth Entry Survey Please enable JavaScript in your browser to complete this form.First Name *Last Name *Gender *FemaleMaleOtherPrefer not to sayDate of Birth (Date, Month, Year) *Postcode *Ethnicity *White BritishWhite OtherMixedAsian/Asian BritishBlack/Black BritishOther ethnic groupPrefer not to sayDo you fall into any of the following categories? (mark all that apply) *NoneDon't knowNEET (Not in education, employment or training)Physical disabilityPoor mental healthYoung carerLow educational attainmentHomelessnessLow income familyBESD (Behavioural, emotional and social difficulties)Looked afterEnglish as second languageSpecial Educational NeedsRefugee or asylum seekerAre you ok for your information to be used to study Active Youth? *NoYesWhy did you decide to take part in this session? (mark all that apply) *To be more activeTo meet other peopleFor funTo develop my leadership skillsOtherHow much do you agree with the following statements?If I find something difficult, I keep trying until I can do it *Strongly DisagreeDisagreeCan't sayAgreeStrongly AgreeI enjoy taking part in exercise and physical activity *Strongly DisagreeDisagreeCan't sayAgreeStrongly AgreeI feel confident when I take part in exercise and physical activity *Strongly DisagreeDisagreeCan't sayAgreeStrongly AgreeI understand why exercise and physical activity are good for me *Strongly DisagreeDisagreeCan't sayAgreeStrongly AgreeI know how to get involved and improve my skills in lots of different types of exercise and physical activity *Strongly DisagreeDisagreeCan't sayAgreeStrongly AgreeTo what extent do you agree with the following statements? (0 = ‘I completely disagree’ and 10 = ‘I completely agree’)I am able to motivate and influence other people Selected Value: 1 I feel confident at having a go at things that are new to me Selected Value: 1 I can do things as well as most other people Selected Value: 1 Submit