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  • Please answer every question. Some questions may look like others, but each one is different. Please take the time to read and answer each question carefully, and click on the circle or check the boxes that best describe your answers.

    Thank you for taking the time to complete this survey!

    General Health

  • 1) In general, would you say your health is:*
  • 2) Compared to one year ago, how would you rate your health in general now?*

  • General health continued ...

  • 3) The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much?*
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  • General health continued ...

  • 4) During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health?*
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  • 5) During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?*
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  • General health continued ...

  • 6) During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?*
  • 7) How much bodily pain have you had during the past 4 weeks?*
  • 8) During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?*

  • General health continued . . .

  • 9) These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks...*
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  • General health continued . . .

  • 10) During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?*
  • 11) How TRUE or FALSE is each of the following statements for you?*
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  • Medical Assessments. What health checks have you had in the last two years?

  • 12.1) Are you male or female?
  • 12.2 - Male) I have had . . . .*
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  • 12.3 - Female) I have had a . . . .
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  • Healthcare Providers. Have you been treated by or visited a healthcare provider in the last two years?

  • 13) I have been treated by a . . .*
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  • 13.1) Have you seen a personal trainer or used a fitness centre
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  • Which Sydney CBD Health Providers have you visited?

  • 14) I have been treated at . . . .*
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  • Health Provider Marketing.

  • 15) How did you hear about or find the centres you were treated at . . .*
  • 15.1.3) Was the SMS*
  • 15.1.4) Was the Email*
  • 15.1.5) Was the phone call
  • 15.1.6) If change of address*

  • Other information. Private health cover, transport to work etc.

  • 17) Transport - How do you get to work*

  • Survey Results, your privacy and future communications from Health in the CBD.

    Results

    The Health in the CBD Survey is continuing research on the health of Sydney CBD workers and residents. Results from the survey will be published each time we have had enough respondents to produce a proper sample. This will likely occur about every three months. From time to time questions will change or be added to. If you would like us to remind you to redo the survey in 12 months or longer please check the appropriate boxes below.

    Your Privacy is assured

    Whilst we use a number of direct marketing services to obtain email addresses and mobile numbers of CBD workers and residents to alert them about the Health in the CBD Survey we will not sell or provide your mobile number or email address to any other party unless you request further information about a particular test or service (see below).

    Removal of mobile numbers and email addresses from Health in the CBD database after receiving results

    If you would like us to remove your mobile number and or email address from the 'Health in the CBD' database please choose the appropriate item in the drop box below.

  • B) Optional SMS Survey Reminders - Please remind me to do the survey again in . . . .

  • Survey Results via SMS Link. We provide progressive results to our surveys via a google shortened link in an SMS. There are additional opt out options below.

  • A) Privacy Options - Opt Out

  • How did you find our Survey and is there information we can provide to you?

  • C) How did you learn about the Health in the City Survey? Please check the appropriate boxes.*
  • D) Would you like us to have a provider send you information on an any of the following? Please tick each item you want information on.
  • Please tell us how long it took you to complete this survey*
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