This is a confidential questionnaire that we ask you to complete before starting Move At Your Desk videos.

The questionnaire will be submitted to Move At Your Desk and if we need to contact you regarding any of your answers, we will do so via email.

If you have any questions, please email info@moveatyourdesk.com.

Thank you!

Kerrie-Anne and the MAYD team

Name

First Name

Last Name

How many hours on a working day do you sit for?

Please list any injuries or medical conditions that you currently have which may be affected by movement

Are you pregnant or have you had a baby in the last 6 months?

Please list other movement activities that you currently do

What are you looking to get out of your movement membership?