Select your
age range*
Please select...
0-17
18-25
26-34
35-44
45-54
55-64
65-74
75+
Program Details
Which Silver Salties Program are you participating in?
Please select...
Park: Walk & Talk
Park: History & Horizons
Park: Yoga & Mindfulness
Park: Tai Chi & Meditation
Clubhouse: Wisdom & Wellbeing Group
Clubhouse: Chair Aerobics
Clubhouse: First Aid
Clubhouse: Club Volunteering
Beach: Social Club
Beach: Beach Fitness
Beach: Beach Surf Sports
Beach: Patrol
Pool: Pool Swim Club
Pool: Gentle Pool Exercises
Pool: Swimming Skills
Pool: Pool Rescues
Surf: Surf Swim Club
Surf: Surf Swimming
Surf: Catching Waves
Surf: Surf Rescues
How long is the Program you will be participating in?
Please select...
Less than 1 Week
1-4 Weeks
4-8 Weeks
8 Weeks+
How did you hear about Silver Salties?
Please select...
1. Communications from your local Surf Life Saving Club
2. Newspaper or radio advertisement
3. Flyers or posters
4. Friends
5. Social Media
6. Other (specify below)
Program Goals
What are you wanting to get out of your participation in the Silver Salties Program? Please rate the following outcomes from 1 to 10 in order of importance (1=least important, 10=most important).
Being part of the Surf Life Saving Club and developing a connection with the community
Improving your fitness, balance, strength and flexibilty
Connecting with other participants socially and forming friendships
Learning more about beach and water safety and/or first aid for your own and others’ safety
Getting back to the beach
Physical Activity Recommendations for Older Australians
Do you currently meet any of the physical activity recommendations for older Australians (65 years and older)?
Recommendation 1: Older people should do some form of physical activity, no matter what their age, weight, health problems or abilities.
Please select...
Yes
No
N/A
Recommendation 2: Older people should be active every day in as many ways as possible, doing a range of physical activities that incorporate fitness, strength, balance and flexibility.
Please select...
Yes
No
N/A
Recommendations 3: Older people should accumulate at least 30 minutes of moderate intensity physical activity on most days if not everyday
Please select...
Yes
No
N/A
Recommendation 4: Older people who have stopped physical activity, or who are starting a new physical activity, should start at a level that is easily manageable and gradually build up the recommended amount, type and frequency of activity.
Please select...
Yes
No
N/A
Recommendation 5: Older people who continue to enjoy a lifetime of vigorous physical activity should carry on doing so in a manner suited to their capability into later life, provided recommended safety procedures and guidelines are adhered to.
Please select...
Yes
No
N/A
Physical Fitness
How would you rate your level of fitness, strength, flexibility and balance prior to participating in a Silver Salties Program?
Level of Fitness, Strength, Flexibility & Balance
Please select...
1. Very Poor
2. Poor
3. Fair
4. Good
5. Excellent
Mental Wellbeing and social Connectedness
How would you rate your level of mental wellbeing and social connectedness prior to participating in a Silver Salties Program?
Level of Mental Wellbeing & Social Connectedness
Please select...
1. Very Poor
2. Poor
3. Fair
4. Good
5. Excellent
Barriers to Participation
Will any of the following barriers affect your participation in a Silver Salties Program?
Key Factors
How important are the following factors in relation to your participation in a Silver Salties Program?
Safety
Please select...
1. Not Important
2. Slightly Important
3. Important
4. Very Important
5. No Opinion
Friendly Club Environment
Please select...
1. Not Important
2. Slightly Important
3. Important
4. Very Important
5. No Opinion
Nurturing and Responsive Program Leaders
Please select...
1. Not Important
2. Slightly Important
3. Important
4. Very Important
5. No Opinion
Skilled Program Leaders
Please select...
1. Not Important
2. Slightly Important
3. Important
4. Very Important
5. No Opinion
Strong Values on Healthy Ageing
Please select...
1. Not Important
2. Slightly Important
3. Important
4. Very Important
5. No Opinion
Please provide any additional comments about your upcoming participation in a Silver Salties Program