Survey ID Number

(Office Use Only)

Reality Television Questionnaire
Subtitle

I am surveying pre teens and teens who watch television, in particular reality TV. Your help in
completing this questionnaire is much appreciated. Please be assured that all your responses
are confidential and will not be linked to you in any way.

1 To analyse the information we get from this survey, we need to be able to classify information.
The following questions will be used only for establishing categories.
A On average, how many times a week do you Exercise?
[1] Less than once [2] 1-2 times [3] 3-4 times
[4] 5-6 times [5] 7 + times
B On average, how many hours a day do you spend watching TV?
[1] Less than 1 [2] 1-2 [3] 3-4
[4] 5-6 [5] 7 +

C On average, how many hours a day do you spend sitting at a desk?

[1] Less than 1 [2] 1-2 [3] 3-4
[4] 5-6 [5] 7 +

D On average, how many hours a night do you sleep?

[1] Less than 4 [2] 4-5 [3] 6-7
[4] 8-9 [5] 10 +

2 Please rate how often you engage in the following activities Not
at all
Very
Often
1. Anaerobic exercise (e.g. sprinting, push-ups etc.) 1 2 3 4 5 6 7
2. Cardio aerobic exercise (walking, running, swimming etc.) 1 2 3 4 5 6 7
3. Group/team focused exercise 1 2 3 4 5 6 7
4. Weight training 1 2 3 4 5 6 7
5. Martial Arts 1 2 3 4 5 6 7
6. Contact sport 1 2 3 4 5 6 7
7. Non-contact sport 1 2 3 4 5 6 7
8. Stretching prior to exercise 1 2 3 4 5 6 7
9. Warming-up prior to exercise 1 2 3 4 5 6 7
10. Warming-down after exercise 1 2 3 4 5 6 7

3 Please rate the extent to which you agree or disagree with the
following statements regarding exercise. Strongly Strongly
(Please circle one number for each statement). Disagree Agree
 1. Exercise is a vital factor in a healthy lifestyle 1 2 3 4 5 6 7
2. Regular exercise helps strengthen my back and neck muscles 1 2 3 4 5 6 7
3. Regular exercise helps in preventing back and neck injuries 1 2 3 4 5 6 7
4. Exercise often leads to pain in my back and/or neck 1 2 3 4 5 6 7
5. Stretching regularly prior to exercise is necessary to prevent injury 1 2 3 4 5 6 7
6. Warming-up prior to exercise is necessary to prevent injury 1 2 3 4 5 6 7
7. Warming-down after exercise is necessary to prevent injury 1 2 3 4 5 6 7

4 To analyse the information we get from this survey, we need to be able to classify information.
The following questions will be used only for establishing categories.
A
[1] [2] [3]
[4] [5] [6]

[1] [2]

[1] [2] [3]

[4] [5] [6]

What would you consider a reasonable price for back pain, neck pain and poor posture Active
D
Care DVD’s?
[1] [2] [3]
[4] [5] [6]

Please rate the extent to which you agree or disagree with the
5 following statements regarding ……
(Please circle one number for each statement).
Strongly
Disagree
Strongly
Agree
1. Treating back and neck pain is a high priority for me 1 2 3 4 5 6 7

2. I suffer from chronic back pain (pain that persists for a long time, beyond the 1 2 3 4 5 6 7
point of tissue healing)
3. I suffer from acute back pain (pain that lasts a short while, usually a few days 1 2 3 4 5 6 7
to several weeks)
4. I suffer from chronic neck pain 1 2 3 4 5 6 7
5. I suffer from acute neck pain 1 2 3 4 5 6 7
6. I suffer from poor posture 1 2 3 4 5 6 7
7. My back and/or neck pain is a result of an accident or injury 1 2 3 4 5 6 7
8. I am motivated to correct my back pain, neck pain or poor posture 1 2 3 4 5 6 7
9. I use medication to help ease back pain and neck pain 1 2 3 4 5 6 7
I use other methods (e.g. yoga, pilates) to treat back pain, neck pain
10. 1 2 3 4 5 6 7
and/or poor posture.

Very
6 Please rate how important you perceive the following features of an
Active Care Exercise Program to be. (Please circle one number for each statement).
Unimport-
ant
Very
Important
1. The program is informative and leaves user without further questions 1 2 3 4 5 6 7
2. The program is interactive and keeps user entertained 1 2 3 4 5 6 7
3. The program has great detail in visual and vocal explanations 1 2 3 4 5 6 7
4. The program is easy to operate 1 2 3 4 5 6 7
5. The program is graphically exciting and captivating 1 2 3 4 5 6 7
6. The program can be utilised in a range of locations with ease 1 2 3 4 5 6 7

Please rate the extent to which you agree or disagree with the
7 following statements regarding Active Care programs for back pain,
neck pain and poor posture Strongly Strongly
(Please circle one number for each statement). Disagree Agree
1. I have previously used back and neck pain exercise DVD’s 1 2 3 4 5 6 7
2. I have previously used back and neck pain exercise iPhone Apps 1 2 3 4 5 6 7
3. I have previously used rehabilitation programs to improve my posture 1 2 3 4 5 6 7
I have a positive opinion towards a self-help Active Care exercise
4. 1 2 3 4 5 6 7
program
I will only use an Active Care exercise program when suffering back or
5. 1 2 3 4 5 6 7
neck pain
An Active Care exercise program may help alleviate my back and neck
6. 1 2 3 4 5 6 7
pain
7. An Active Care program will help strengthen my back and neck 1 2 3 4 5 6 7
Active Care exercise and rehabilitation programs are a waste of
8. 1 2 3 4 5 6 7
money
I prefer to consult a practitioner than use an Active Care exercise
9. 1 2 3 4 5 6 7
program
An Active Care exercise program can reduce the reliance on doctors
10 1 2 3 4 5 6 7
and health practitioners
An Active Care exercise program can complement doctors and health
11 1 2 3 4 5 6 7
practitioners
Active Care exercise programs can become boring after a period of
12 1 2 3 4 5 6 7
time
13 Active Care exercise programs do not provide enough information 1 2 3 4 5 6 7
14 Active Care exercise programs seem too complicated 1 2 3 4 5 6 7
I use websites and books to help assist my rehabilitation and exercise
15 1 2 3 4 5 6 7
programs

To analyse the information we get from this survey, we need to be able to classify information.
8 The information about yourself will not be used for identification, but used only for establishing
broad categories.
A What is your Age? (Years).
[1] Under 18 [2] 18 - 25 [3] 26 – 34
[4] 35 - 44 [5] 45 – 54 [6] 55 +
B What is your Gender?
[1] Male [2] Female
C What is your marital status?
[1] Single [2] Married [3] De Facto
[4] Divorced [5] Widowed
D What is your highest form of Education?
[1] High School Graduate [2] Diploma or Certificate [3] Bachelor Degree
[4] Postgraduate Degree [5] Other_______________

E What is your current Occupation?

[1] Student [2] Engineering [3] Business
[4] Professional sportsperson [5] Education [6] Medical
[7] Information Technology [8] Science [9] Self-employed
[1 Home maker [11] Retired [12] Other___________
0]
F What is your Personal Annual Income Before Tax? (Dollars/Year Before Tax).
D [1] Less than $20,000 [2] $20,001 – $40,000 [3] $40,001 - $60,000
[4] $60,001 - $80,000 [5] $80,001 - $100,000 [6] $100,001 +

Thank you for your time and effort in completing this questionnaire.