Active in Life Active in Life activities

*Some activities are currently postponed due to Covid-19*

If you would like information and advice on staying active at home during this difficult period,

please register as normal or use the contact form and we will assist you in every way we can.

 

Please fill out all areas marked with a *

The form could not be submitted for the following reasons

Sign up

If you are doing less than 30 minutes of excercise per week and live in South Gloucestershire, you are eligible to sign up for Active in Life.

We will ask you some questions about yourself and your wellbeing to make sure you we understand your needs and requirements, and to help improve the service.

Step 1 of 11

Are you doing less than 30 minutes physical activity that raises your pulse or breathing rate per week?

Step 2 of 11

Contact details

Step 3 of 11

Details about yourself

Date of birth

Enter your date of birth

Gender
Do you have a disability?
Ethnicity

Step 4 of 11

Address and employment information

Your address
What is your total household income?
Are you in receipt of any of the following income top-ups?
  • JSA
  • ESA
  • Universal Credit
  • Working Tax Credit
  • Child Tax Credit
  • Housing Benefit
  • Income Support
  • Means-tested Council Tax Reduction

Step 5 of 11

Physical, mental health conditions or illnesses

Do you have any physical or mental health condition or illness that has lasted or expected to last more than 12 months?
Does this have a substantial effect on your ability to do normal daily activities?
Does this disability or illness affect you in any of the following areas?
  • long term pain
  • chronic health condition
  • mobility
  • dexterity
  • mental health
  • visual
  • breathing
  • memory
  • hearing
  • learning
  • speech
  • behavioural

Step 6 of 11

Rate these aspects of your health on a scale of 1 (poor) to 5 (excellent)

Physical fitness
Mental and emotional wellbeing?
Weight/body shape?
Current overall health?

Step 7 of 11

Physical wellbeing

Which sports and activities are you interested in from the included sessions on this website?
In the last 7 days, have you done a continuous walk lasting at least 10 minutes?

Step 8 of 11

Mental wellbeing

On a scale of 0 (not at all satisified) to 10 (completely satisified), overall, how satisifed are you with your life nowadays?
On a scale of 0 (not at all happy) to 10 (completely happy), overall, how happy did you feel yesterday?
On a scale of 0 (not at all anxious) to 10 (completely anxious), overall, how anxious did you feel yesterday?
On a scale of 0 (not at all worthwhile) to 10 (completely worthwhile), overall, to what extent do you feel the things you do in your life are worthwhile?

Step 9 of 11

The following statements ask about feelings and thoughts. Select which statement describes your experience over the last 2 weeks.

I've been feeling optimistic about the future
I've been feeling useful
I've been feeling relaxed
I've been feeling interested in other people
I've had energy to spare
I've been dealing with problems well
I've been thinking clearly
I've been feeling good about myself
I've been feeling close to other people
I've been feeling confident
I've been able to make up my own mind about things
I've been feeling loved
I've been interested in new things
I've been feeling cheerful

Step 10 of 11

How you found out about Active in Life

Where did you hear about Active in Life?
Has anyone encourage you to sign up to Active in Life?

Step 11 of 11

Before you complete your registration, read our consent statement

Sometimes we take photos at Active in Life sessions and promotional events.

Please tick the box if you PROVIDE CONSENT for us to take photos of you.

Any images taken may be used by South Gloucestershire Council and its partners for press/news releases, promotional information or training purposes in print, websites and social media channels (including on Facebook, Twitter, Flickr and YouTube).

Not eligible

As you are doing more than 30 minutes of physical activity per week, you are not eligible for this service

You are still more than welcome to attend any of the activity sessions listed on our site at a regular cost – please refer back to our activities page and contact the leader of the session you would like to go along to.