Before attending the Move Beyond Cancer activity sessions, please complete this short questionnaire. The information you provide will help GLL and CB Plus plan the sessions safely and ensure they are suitable for your needs. All responses will be treated confidentially.

Type of Cancer *
Have you been diagnosed within 5 years? *
Outcomes/Pathway *
Treatment *
Side Effects from Treatment *
Have you discussed with GP/MDT/oncologist about becoming more physically active? *
Completed a cancer care review with GP surgery? *

If you wish to withdraw your consent or have questions about your submission, please contact info@cbplus.org.uk or andrew.gilbert@gll.org.