Supporting healthy eating and physical activity to live a healthy lifestyle

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Do you want to help shape resources to support healthy eating and physical activity to live a healthy lifestyle?

NHS Shropshire, Telford and Wrekin, and Staffordshire and Stoke-on-Trent provide a lot of information to support people living healthy lifestyles while accessing NHS services, but we want to make sure the information you need is available.

We want to understand where and how people access information, if they can find the advice and support they need, and how easy it is to understand. We also want to find out if anything else is needed to support people.

We’d like to hear from people who would like to respond to a survey, join a discussion, or both, to explore challenges, barriers and opportunities. If you would like to share your views, please answer the following questions, and provide your contact information.

Section 1 : Sharing your views

How would you share your views about resources (select all that apply)

Attend a face-to-face workshop (approximately 90 minutes)

Attend an online workshop (approximately 90 minutes)

Complete an online survey

Complete a paper survey

Telephone discussion

If you attend a workshop, how would you prefer to share your views? (Select all that apply)

Speaking as part of a group discussion

Speaking one-to-one with a facilitator

I would need to attend with someone else who provides support

I would need language or interpretation support (e.g. sign language)

Other (please specify):

This is required

Would you prefer to:

a. Share your own experiences and ideas

b. Discuss what support people in your community may need (e.g. as a representative of a group or organisation)

c. Both

If you answered b or c - tell us which groups you would be representing

This is required

Section 2 : Registration

I would like to be sent information about the survey

Yes

We are planning to run workshops in November 2026. Please tell us if you are interested in joining these sessions, and which workshops you would prefer by completing the section below:

I would like to be sent information about face-to-face workshops

I would like to be sent information about online workshops

Please provide your contact information for the relevant options you have expressed interest in:

Name

Email address

Telephone number

About you

We would like to know a little more about you. The following questions will help us understand more about who has responded to this survey and ensure we have listened to as many different people as possible. You can leave this section blank if you wish.

Please provide your full postcode. Providing your full postcode does not mean we will be able to identify you individually. It will help us to ensure we have gathered views from all areas.

What is your age?

What is your religion or belief?

Any other religion (please specify here)

This is required

What is your sex?

Male

Female

Intersex

Prefer not to say

Other (please specify)

This is required

What is your gender identity?
Gender Reassignment: Have you gone through any part of a process or do you intend to (including thoughts and actions) to bring your physical sex appearance and/or your gender role more in line with your gender identity? (This could include changing your name, your appearance and the way you dress, taking hormones or having gender confirming surgery).

Yes

Prefer not to say

How do you identify yourself? (e.g. non-binary, gender fluid etc.)

What is your sexual orientation?

Heterosexual (people of the opposite sex)

Bisexual (people of either sex)

Lesbian/gay woman (both female)

Gay man (both male)

Prefer not to say

Other (please specify):

This is required

What is your relationship status?

Separated

Widowed

Civic Partnership

Prefer not to say

Other (please specify):

This is required

The Equality Act 2010 protects women who are pregnant or have given birth within a 26 week period.

Are you pregnant at this time?

Yes

Prefer not to say

Have you recently given birth? (within the last 26 week period)

Yes

Prefer not to say

Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months?

Yes, limited a lot

Yes, limited a little

Prefer not to say

Do you consider yourself to have a disability? The Equality Act 2010 states a person has a disability if they have a physical or mental impairment which has a long term (12-month period or longer) or substantial adverse effects on their ability to carry out day-to-day activities.

Physical disability

Sensory disability e.g. deaf, hard of hearing, blind, visually impaired

Mental health need

Learning disability or difficulty

Long-term illness

Prefer not to say

Other (please specify):

This is required

Please describe:

Your physical disability

Your sensory disability

Your long-term illness

Any other disabilities/illnesses

Do you care for someone? Please tick as many boxes as appropriate

Yes, I care for young person(s) aged younger than 24 years old

Yes, I care for adult(s) aged 25 to 49 years old

Yes, I care for older person(s) aged over 50 years old

Prefer not to say

Are you now, or have you ever served in the armed services?

Yes, I am currently serving

Yes, I have previously served

Prefer not to say

Page 1

How would you share your views about resources (select all that apply)

If you attend a workshop, how would you prefer to share your views? (Select all that apply)

Would you prefer to:

I would like to be sent information about the survey

We are planning to run workshops in November 2026. Please tell us if you are interested in joining these sessions, and which workshops you would prefer by completing the section below:

Please provide your contact information for the relevant options you have expressed interest in:

Please provide your full postcode. Providing your full postcode does not mean we will be able to identify you individually. It will help us to ensure we have gathered views from all areas.

What is your ethnicity group? (Choose one option that best describes your ethnic group or background)

What is your age?

What is your religion or belief?

What is your sex?

How do you identify yourself? (e.g. non-binary, gender fluid etc.)

What is your sexual orientation?

What is your relationship status?

The Equality Act 2010 protects women who are pregnant or have given birth within a 26 week period. Are you pregnant at this time?

Have you recently given birth? (within the last 26 week period)

Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months?

Do you consider yourself to have a disability? The Equality Act 2010 states a person has a disability if they have a physical or mental impairment which has a long term (12-month period or longer) or substantial adverse effects on their ability to carry out day-to-day activities.

Please describe:

Do you care for someone? Please tick as many boxes as appropriate

Are you now, or have you ever served in the armed services?

The Equality Act 2010 protects women who are pregnant or have given birth within a 26 week period.

Are you pregnant at this time?