{"id":36436,"date":"2021-05-10T15:28:16","date_gmt":"2021-05-10T14:28:16","guid":{"rendered":"https:\/\/visionrcl.org.uk\/?page_id=36436"},"modified":"2021-05-18T13:45:38","modified_gmt":"2021-05-18T12:45:38","slug":"active-stars-pre-workshop-questionnaire","status":"publish","type":"page","link":"https:\/\/isca00.bigwaveserver.co.uk\/~visionrc\/sport-health-physical-fitness\/health-and-wellbeing\/weight-management\/activestars\/active-stars-pre-workshop-questionnaire\/","title":{"rendered":"Active Stars Pre-Workshop Questionnaire"},"content":{"rendered":"\n<p><strong>Thank you for attending Active Stars!<\/strong> Please help us to keep these sessions going and to ensure that they are tailored to your needs by completing this questionnaire.<\/p>\n\n\n\n<div style=\"height:27px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f36432-o1\" lang=\"en-GB\" dir=\"ltr\" data-wpcf7-id=\"36432\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/~visionrc\/wp-json\/wp\/v2\/pages\/36436#wpcf7-f36432-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"36432\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.2\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_GB\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f36432-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<h4>Your details\n<\/h4>\n<p>All fields required\n<\/p>\n<p><label>Parent\/Carer's Name (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label>Child's Name (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"child-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"child-name\" \/><\/span> <\/label>\n<\/p>\n<p><label>Child's Age (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"child-age\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"child-age\" \/><\/span> <\/label>\n<\/p>\n<p><label>Child's Date of Birth (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Date-Of-Birth\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"Date-Of-Birth\" \/><\/span><\/label>\n<\/p>\n<p><label>Child's Gender (required)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-gender\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-gender\" value=\"Male\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-gender\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Address (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-address\" \/><\/span> <\/label>\n<\/p>\n<p><label>Postcode (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-postcode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-postcode\" \/><\/span> <\/label>\n<\/p>\n<p><label>Contact Number (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telephone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"telephone\" \/><\/span> <\/label>\n<\/p>\n<p><label>Email Address (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label>What is your child's ethnic group?<\/label><br \/>\n<b>White<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"EthnicGroup-White\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"EthnicGroup-White[]\" value=\"British\" \/><span class=\"wpcf7-list-item-label\">British<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"EthnicGroup-White[]\" value=\"Any other White background\" \/><span class=\"wpcf7-list-item-label\">Any other White background<\/span><\/span><\/span><\/span>\n<\/p>\n<p><b>Mixed<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"EthnicGroup-Mixed\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"EthnicGroup-Mixed[]\" value=\"White and Black Caribbean\" \/><span class=\"wpcf7-list-item-label\">White and Black Caribbean<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"EthnicGroup-Mixed[]\" value=\"White and Black African\" \/><span class=\"wpcf7-list-item-label\">White and Black African<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"EthnicGroup-Mixed[]\" value=\"White and Asian\" \/><span class=\"wpcf7-list-item-label\">White and Asian<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"EthnicGroup-Mixed[]\" value=\"Any other Mixed background\" \/><span class=\"wpcf7-list-item-label\">Any other Mixed background<\/span><\/span><\/span><\/span>\n<\/p>\n<p><b>Black or Black British<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"EthnicGroup-Black\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"EthnicGroup-Black[]\" value=\"Caribbean\" \/><span class=\"wpcf7-list-item-label\">Caribbean<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"EthnicGroup-Black[]\" value=\"African\" \/><span class=\"wpcf7-list-item-label\">African<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"EthnicGroup-Black[]\" value=\"Any other Black background\" \/><span class=\"wpcf7-list-item-label\">Any other Black background<\/span><\/span><\/span><\/span>\n<\/p>\n<p><b>Asian or British Asian<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"EthnicGroup-Asian\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"EthnicGroup-Asian[]\" value=\"Indian\" \/><span class=\"wpcf7-list-item-label\">Indian<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"EthnicGroup-Asian[]\" value=\"Pakistani\" \/><span class=\"wpcf7-list-item-label\">Pakistani<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"EthnicGroup-Asian[]\" value=\"Bangladeshi\" \/><span class=\"wpcf7-list-item-label\">Bangladeshi<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"EthnicGroup-Asian[]\" value=\"Any other Asian background\" \/><span class=\"wpcf7-list-item-label\">Any other Asian background<\/span><\/span><\/span><\/span>\n<\/p>\n<p><b>Other Ethnic Groups<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"EthnicGroup-Other\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"EthnicGroup-Other[]\" value=\"Chinese\" \/><span class=\"wpcf7-list-item-label\">Chinese<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"EthnicGroup-Other[]\" value=\"Any Other background\" \/><span class=\"wpcf7-list-item-label\">Any Other background<\/span><\/span><\/span><\/span>\n<\/p>\n<h4>Emergency Contact\n<\/h4>\n<p><label>Full Name (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"emergency-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"emergency-name\" \/><\/span> <\/label>\n<\/p>\n<p><label>Contact Number (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"emergency-telephone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"emergency-telephone\" \/><\/span> <\/label>\n<\/p>\n<p><label>How did you find out about the activity?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-source\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-source\" \/><\/span><\/label>\n<\/p>\n<p><label>Are you new to sport? (i.e. not involved in physical activity for the past year)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-active\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-active\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-active\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>How many minutes of activity have you done in the last week?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-active-minutes\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-active-minutes\" value=\"0 mins\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">0 mins<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-active-minutes\" value=\"0-30 mins\" \/><span class=\"wpcf7-list-item-label\">0-30 mins<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-active-minutes\" value=\"30-60 mins\" \/><span class=\"wpcf7-list-item-label\">30-60 mins<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-active-minutes\" value=\"60-90 mins\" \/><span class=\"wpcf7-list-item-label\">60-90 mins<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-active-minutes\" value=\"90-150 mins\" \/><span class=\"wpcf7-list-item-label\">90-150 mins<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-active-minutes\" value=\"150+ mins\" \/><span class=\"wpcf7-list-item-label\">150+ mins<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Are you happy for us to contact you regarding cancellations, changes or additions to the programme?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-contact\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-contact\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-contact\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n<\/p>\n<p><br \/>\n____________________\n<\/p>\n<h4>Pre-Activity Readiness Questionnaire (PAR-Q)\n<\/h4>\n<p><label>Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-heart\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-heart\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-heart\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><br \/>\n<label>Do you feel pain in your chest when you do physical activity?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-chest-active\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-chest-active\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-chest-active\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><br \/>\n<label>In the past month, have you had chest pain when you were not doing physical activity?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-chest-inactive\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-chest-inactive\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-chest-inactive\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><br \/>\n<label>Do you lose your balance because of dizziness or do you ever lose consciousness?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-dizziness\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-dizziness\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-dizziness\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><br \/>\n<label>Do you have a bone or joint problem that could be made worse by a change in your physical activity?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-joints\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-joints\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-joints\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><br \/>\n<label>Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-drugs\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-drugs\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-drugs\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><br \/>\n<label>Do you know of any other reason why you should not do physical activity?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-other-reasons\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-other-reasons\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-other-reasons\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n<\/p>\n<p><b>If you answered YES:<\/b><br \/>\nIf you answered yes to one or more questions, are older than age 40 and have been inactive or are concerned about your health, consult a physician before taking a fitness test or substantially increasing your physical activity. You should ask for a medical clearance along with information about specific exercise limitations you may have. In most cases, you will still be able to do any type of activity you want as long as you adhere to some guidelines.\n<\/p>\n<p><b>If you answered NO:<\/b><br \/>\nIf you answered no to all the PAR-Q questions, you can be reasonably sure that you can exercise safely and have low risk of having any medical complications from exercise. It is still important to start slowing and increase gradually. It may also be helpful to have a fitness assessment with a personal trainer or coach in order to determine where to begin.\n<\/p>\n<p><b>When to delay the start of an exercise program:<\/b><br \/>\n\u2022\tIf you are not feeling well because of a temporary illness, such as a cold or a fever, wait until you feel better to begin exercising.<br \/>\n\u2022\tIf you are or may be pregnant, talk with your doctor before you start becoming more active.\n<\/p>\n<h4>About your child\n<\/h4>\n<p><b>How often has your child had each of the following food\/drink items in the past 24 hours:<\/b>\n<\/p>\n<p><br \/>\n<label>Fruit and vegetables<br \/>\n1 portion (including fresh, frozen and tinned) =\u00bd apple, 1 plum, \u00bd medium carrot, \u00bd to 1 heaped tablespoon beans, e.g. chick peas<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-fruit-veg\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-fruit-veg\" value=\"0\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">0<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-fruit-veg\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-fruit-veg\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-fruit-veg\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-fruit-veg\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-fruit-veg\" value=\"5+\" \/><span class=\"wpcf7-list-item-label\">5+<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Soft drinks \/ squashes \/ other sweetened drinks<br \/>\n(including fruit juice based drinks like Rubicon, Ribera, Fruit Shoots)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-sweet-drink\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-sweet-drink\" value=\"0\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">0<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-sweet-drink\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-sweet-drink\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-sweet-drink\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-sweet-drink\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-sweet-drink\" value=\"5+\" \/><span class=\"wpcf7-list-item-label\">5+<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Unsweetened juice<br \/>\n(e.g. 100% juice, including juice that you dilute down with water in your child\u2019s cup)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-juice\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-juice\" value=\"0\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">0<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-juice\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-juice\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-juice\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-juice\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-juice\" value=\"5+\" \/><span class=\"wpcf7-list-item-label\">5+<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Water<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-water\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-water\" value=\"0\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">0<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-water\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-water\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-water\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-water\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-water\" value=\"5+\" \/><span class=\"wpcf7-list-item-label\">5+<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Pre-sugared cereals (e.g. coco pops, fruit loops) or sugar added to cereal<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-cereal\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-cereal\" value=\"0\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">0<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-cereal\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-cereal\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-cereal\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-cereal\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-cereal\" value=\"5+\" \/><span class=\"wpcf7-list-item-label\">5+<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>Potato chips\/crisps, sweet biscuits, chocolate (bar, block or coated biscuit), other sweet snacks (e.g. cakes, ice cream)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-snacks\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-snacks\" value=\"0\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">0<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-snacks\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-snacks\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-snacks\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-snacks\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-snacks\" value=\"5+\" \/><span class=\"wpcf7-list-item-label\">5+<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>My child takes part in structured physical activities e.g. sports lessons, clubs, swimming..<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-activity\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-activity\" value=\"daily\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">daily<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-activity\" value=\"2-3 times weekly\" \/><span class=\"wpcf7-list-item-label\">2-3 times weekly<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-activity\" value=\"once a week\" \/><span class=\"wpcf7-list-item-label\">once a week<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-activity\" value=\"every two weeks\" \/><span class=\"wpcf7-list-item-label\">every two weeks<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-activity\" value=\"once a month\" \/><span class=\"wpcf7-list-item-label\">once a month<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-activity\" value=\"less than once a month\" \/><span class=\"wpcf7-list-item-label\">less than once a month<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-activity\" value=\"never\" \/><span class=\"wpcf7-list-item-label\">never<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>My child is active through outdoor play and recreational activities at home..<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-play\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-play\" value=\"daily\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">daily<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-play\" value=\"2-3 times weekly\" \/><span class=\"wpcf7-list-item-label\">2-3 times weekly<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-play\" value=\"once a week\" \/><span class=\"wpcf7-list-item-label\">once a week<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-play\" value=\"every two weeks\" \/><span class=\"wpcf7-list-item-label\">every two weeks<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-play\" value=\"once a month\" \/><span class=\"wpcf7-list-item-label\">once a month<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-play\" value=\"less than once a month\" \/><span class=\"wpcf7-list-item-label\">less than once a month<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-play\" value=\"never\" \/><span class=\"wpcf7-list-item-label\">never<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>On a typical day, my child is active (through walking to school, cycling, active play, sports lessons etc) for approximately...<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-hoursmins\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-hoursmins\" \/><\/span> (hours and minutes)<\/label>\n<\/p>\n<p><label>On a typical day, my child plays computer games and\/or watches television (including watching films etc) for..<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-screen-activity\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-screen-activity\" value=\"30 minutes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">30 minutes<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-screen-activity\" value=\"1 hour\" \/><span class=\"wpcf7-list-item-label\">1 hour<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-screen-activity\" value=\"2 hours\" \/><span class=\"wpcf7-list-item-label\">2 hours<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-screen-activity\" value=\"4 hours\" \/><span class=\"wpcf7-list-item-label\">4 hours<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-screen-activity\" value=\"6 hours\" \/><span class=\"wpcf7-list-item-label\">6 hours<\/span><\/span><\/span><\/span>\n<\/p>\n<h4>Child Questionnaire - this section <b>MUST<\/b> be filled in by your <b>CHILD ONLY<\/b>\n<\/h4>\n<p><b>Please indicate how strongly you agree or disagree with each statement.<\/b>\n<\/p>\n<p><label>On the whole, I am satisfied with myself.<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-child-q1\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-child-q1\" value=\"Strongly Agree\" \/><span class=\"wpcf7-list-item-label\">Strongly Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q1\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q1\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-child-q1\" value=\"Strongly Disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly Disagree<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>At times, I think I am no good at all.<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-child-q2\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-child-q2\" value=\"Strongly Agree\" \/><span class=\"wpcf7-list-item-label\">Strongly Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q2\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q2\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-child-q2\" value=\"Strongly Disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly Disagree<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>I feel that I have a number of good qualities.<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-child-q3\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-child-q3\" value=\"Strongly Agree\" \/><span class=\"wpcf7-list-item-label\">Strongly Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q3\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q3\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-child-q3\" value=\"Strongly Disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly Disagree<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>I am able to do things as well as most other people.<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-child-q4\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-child-q4\" value=\"Strongly Agree\" \/><span class=\"wpcf7-list-item-label\">Strongly Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q4\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q4\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-child-q4\" value=\"Strongly Disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly Disagree<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>I feel I do not have much to be proud of. <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-child-q5\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-child-q5\" value=\"Strongly Agree\" \/><span class=\"wpcf7-list-item-label\">Strongly Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q5\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q5\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-child-q5\" value=\"Strongly Disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly Disagree<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>I certainly feel useless at times.<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-child-q6\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-child-q6\" value=\"Strongly Agree\" \/><span class=\"wpcf7-list-item-label\">Strongly Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q6\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q6\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-child-q6\" value=\"Strongly Disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly Disagree<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>I feel that I'm a person of worth, at least on an equal plane with others.<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-child-q7\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-child-q7\" value=\"Strongly Agree\" \/><span class=\"wpcf7-list-item-label\">Strongly Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q7\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q7\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-child-q7\" value=\"Strongly Disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly Disagree<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>I wish I could have more respect for myself.<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-child-q8\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-child-q8\" value=\"Strongly Agree\" \/><span class=\"wpcf7-list-item-label\">Strongly Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q8\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q8\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-child-q8\" value=\"Strongly Disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly Disagree<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>All in all, I am inclined to feel that I am a failure.<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-child-q9\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-child-q9\" value=\"Strongly Agree\" \/><span class=\"wpcf7-list-item-label\">Strongly Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q9\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q9\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-child-q9\" value=\"Strongly Disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly Disagree<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label>I take a positive attitude toward myself. <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-child-q10\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-child-q10\" value=\"Strongly Agree\" \/><span class=\"wpcf7-list-item-label\">Strongly Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q10\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-child-q10\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-child-q10\" value=\"Strongly Disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly Disagree<\/span><\/span><\/span><\/span>\n<\/p>\n<p>-END of Child Questionnaire-\n<\/p>\n<h4>Child's Measurements\n<\/h4>\n<p><label>Child's Height (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"child-height\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"child-height\" \/><\/span> <\/label>\n<\/p>\n<p><label>Child's Weight (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"child-weight\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"child-weight\" \/><\/span> <\/label>\n<\/p>\n<p><label>Child's Waist Circumference (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"child-waist\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"child-waist\" \/><\/span> <\/label>\n<\/p>\n<p>We will contact you in 3-6months time to see whether you need any further support on healthy eating and to ask you a few questions about healthy eating. <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-follow-up\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><span class=\"wpcf7-list-item-label\">If you do not want us to do this please tick this box.<\/span><input type=\"checkbox\" name=\"checkbox-follow-up[]\" value=\"If you do not want us to do this please tick this box.\" \/><\/span><\/span><\/span>\n<\/p>\n<p><label>Terms and Conditions<\/label><br \/>\n<b>Please agree to our terms and conditions by ticking the box:<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-terms\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"acceptance-terms\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> I confirm that I understand that participation in this group or class is entirely at my own risk and I should consult my doctor if suffering from any condition that might make taking part injurious to my health.\n<\/p>\n<p><label>Signature (required) - please enter your full name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"signature-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"signature-name\" \/><\/span> <\/label>\n<\/p>\n<p><label>Date<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-today\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-today\" \/><\/span>\n<\/p>\n<p>Please make sure you have agreed to our terms and conditions before submitting.<br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Thank you for attending Active Stars! Please help us to keep these sessions going and to ensure that they are tailored to your needs by completing this questionnaire.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":8269,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-general-article.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-36436","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/isca00.bigwaveserver.co.uk\/~visionrc\/wp-json\/wp\/v2\/pages\/36436","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/isca00.bigwaveserver.co.uk\/~visionrc\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/isca00.bigwaveserver.co.uk\/~visionrc\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/isca00.bigwaveserver.co.uk\/~visionrc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/isca00.bigwaveserver.co.uk\/~visionrc\/wp-json\/wp\/v2\/comments?post=36436"}],"version-history":[{"count":2,"href":"https:\/\/isca00.bigwaveserver.co.uk\/~visionrc\/wp-json\/wp\/v2\/pages\/36436\/revisions"}],"predecessor-version":[{"id":37204,"href":"https:\/\/isca00.bigwaveserver.co.uk\/~visionrc\/wp-json\/wp\/v2\/pages\/36436\/revisions\/37204"}],"up":[{"embeddable":true,"href":"https:\/\/isca00.bigwaveserver.co.uk\/~visionrc\/wp-json\/wp\/v2\/pages\/8269"}],"wp:attachment":[{"href":"https:\/\/isca00.bigwaveserver.co.uk\/~visionrc\/wp-json\/wp\/v2\/media?parent=36436"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}