The Lifestyle Fitness Center 'on 4895 Fayetteville Road is scheduled to open the middle of and wellness classes will be offered by SGH Health Care Corporation on the hospital campus.
January, 1988. The facility will offer a comprehensive program inclUBmg~fitnes3 activities, athle- Please check as many iprograms as you would like to participate In. You will be helplnfl us to .
tic training, cardiac and pulmonary rehabilitation. The choices in questions 7 and 8 are many of offer the services you went to have. A .
the programs to be offered at the Lifestyle Fitness Center. In addition many health education The L,festy|e Fi,n*"C?"|?r'? PJJJ ?f th? tot?' h??,lh
* care program offered by SGH Health Care Corporation.
1. Please place an x beside the Health, Habit and Lifestyle Programs listed below that interest
you the most.
? Alcohol/Orug Education ? Smoking Cessation
? Diabetes Education ? Sports Medicine
? Cardiac Life Support ? Starting A Safe Exercise Program
? Couples Communication ? Lower Back Injury Prevention
? Stress Management ? Tension Relaxation x
? Osteoporosis ? Healthy Skin and Hair
? Fitness Video Education ? Gout
? First Visit To The Hospital ? Women's Health Issues
2. If you are middle age or older, place an x beside the programs listed below you would most
like to attend.
? Foot Care ? Eye Care
? Drug Management ? Accident Prevention
? Tour of Hospital ? Wise Healthcare Consumer
? Exercise for Older Adults ? Medical Insurance Information
\
3. If you are in a situation where a support group could be beneficial, put an x beskle the ap
propriate group (s).
? Alzheimer's Disease ? Cancer '
? Diabetes ? Lung Disease
? Stroke ? New Parent
? Family Situations ? Weight Control
? Alcohol/Drug Problems
4. Please place an x beside the Nutrition and Weight Control Programs you would like to partici
pate in.
? Changing Your Eating Habits ? Cooking for a Healthy Heart
? Infant Nutrition ? Nutrition Controversies
? Permanent Weight Control ? Single Servings
? Sports Nutrition ? Toddler Nutrition
? Low Fat Cooking ? Cooking'Jor Diabetics
? Reducing Salt Intake ? Snacks: Add Power Not Pounds
? Facts about Fat
5. If you are or will be in a parenting situation, place an x by the programs listed below that
would be of most benefit to you.
? Breast Feeding Class ? Caring for your Newborn
? Baby Sitting Clinic ? Childhood Safety/Accident
? First Year of Life Prevention
? Prenatal Exercise ? Parent/Child Communication
? Preparation for Parenthood ? Postnatal Exercise
? Teenage Pregnancy ? Building Child Self-Esteem
? Single Parent and Confidence
? Caring for a Sick Child . ? Lamaze
6. Place an x beside the following sexuality and reproduction programs you feel would be of
benefit to you.
? Infertility ? Managing Menopause
? Impotence ? Preparing for Pregnancy
? PMS
7. Indicate with an x the Fitness Programs you would participate in.
? Racquetball ? Outside Fitness Trail
? Exercise at Work ? First Aid for the Fitness
? Water Exercise Fanatic
? Arthritis Water Exercise ? Sport Specific Training Program
? Weight Training Women ?Tone Up
? Progressive Running ? Exercise Appropriate for your
? Bicycling Body
? Aerobic Classes ? Aerobic Equipment Training
? Weight Training ? Men ?Walking
? Swimming ? Tai-Chi
? YOGA ? Fitness Testing
? Annual Fun Run/Biathlon
8. If you are interested in swimming, place an x beside the program(s) you would participate in.
? Lap Swimming ? Adult Swimming Lessons
? Open Swimming ? Children's Swimming Lessons
? Water Sports
.9. Aerobics classes will be offered. Place an x beside the time of day that is most convenient for
you.
? Early Morning ? Early Afternoon
? Mid Morning ? Late Afternoon
? Noon ? After Work/Evening
10. The only sports medicine clinic in this area of North Carolina is at SGH Lifestyle Fitness Cen
ter. How far would you be willing to travel to get rehabilitation for an injury or training on
athletic injury prevention? . . ,
-0-10 Miles ? Mileage not a Factor
? 10-20 Miles
11. Screening tests will be available. Place an x beside those tests you would like to have.
? Blood Pressure ? Cholesterol (fat) in your blood
? Colo-Rectal Cancer Screening ? Athletic Injury Screening
? Lungs (Pulmonary Function) ? Heart/Treadmill Exercise Test
? Lifestyle Assessment ? Flexibility
? Body Composition & Analysis ? Muscular Strength/Endurance
? Current Health & Fitness ? Health Risk Appraisal
Level
' -j ?. . -4.
? ^ t
V
12. If your insurance paid for your rehabilitation programs from a heart problem, sports injury or
a lung problem, would you want to participate in a rehabilitation program?
? Yes - No
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13. Would you be willing to participate in a rehabilitation program even though your medical
insurance may not currently cover program expenses?
? Yes - No
? ? ; ,
14. Are you interested in participating in a cardiac rehabilitation or heart strengthening pro
gram? ' . \
? Yes ? No v .
' ?> 'a
15. If you have a breathing problem, do you have any of the following? \
? Asthma ? Bronchitis
? Emphysema ? Other: State Problem. v ; ,
16. If you have a breathing problem, would you be interested in a pulmonary rehabilitation pro- j
gram that would help you manage that problem? i
? Yes - No
>
18. Specific children's programs would be of interest to me.
? Yes - No v
19.1 would use the Lifestyle Fitness Center's nursery for my children. *
? Yes - No
>
20.1 am * \
? Male ? Female
21. My age is in the following range. *
? 18-24 -45-54 .
-25-34 - 55-64
-35-44 -65+
22. If you are employed, is your normal daily work period a *
? Second (Evening) Shift - Rotating Shift
? Third (Night) Shift ? First (Day) Shift ':S
23. My education level is
-Junior High -College
-High School - Post Graduate X
?
24. Do you smoke?
? Yes _ NO '*?
? ^ ?
25. About how many miles do you live from Southeastern General Hospital? i
? 0-5Miles ?11-l5Miles 1 ;
? 6-16 Miles : ^ A . jrf
. .4
26. If you work, about how many miles do you work from Southern General Hospital? ,*?
-0-5 Miles -11-15 Miles
-6-10 Miles ?More than 15 r:
? ?
27. How many times per week would you be interested in participating in the fitness programs - '?
sponsored by SGH Healthcare Corporation? ?* ?
-1 -3
? 2 ?4 or more
28. If you participate, what would you prefer for an average session length?
? 5-30 Minutes ? More than 1 hour
-31-60 Minutes -1 :
29. From Monday through Friday, what time of day would you prefer to participate in fitness acti- ?,
vities?
? 6:00 a.m.-10:00 a.m. ? 2:00 p.m.-6:00 p.m. \'
? 10:00 a.m.-2:00 p.m. ? 6:00 p.m.-10:00 p.m.
30. Saturday Preference? ,? *
? 9:00 a.m.-l2:00 Noon ? 3:00 p.m.-6:00 p.m.
? 12:00 Noon-3:00 p.m. ,*
" % i
?ri
21. Sunday Preference? ?
? 1:00 p.m.-3:30 p.m. ? 3:30 p.m.-6:00 p.m. :*
32. If you enroll in a health promotion/fitness activity, do you prefer to have a group activity?
? Yes ? No !
\%
33. If prepared foods that tasted good and were nutritional (low fat, low sodium, low sugar, high
fibre) were available from the hospital, would you be interested in buying them? * ? -
? Yes ?No ;
I*' -'A
34. What would influence your decision to buy them? I'
? !:
?? ? ? V ? ?.
? . % *
1 - - - - ? i ? . I i #
35. is there something you would either like to ask or to Mil us? ? - *
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f . I - * <v' ': --4 j> * v.
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PROFILE OF THE LIFESTYLE TEAM;
The many health care programs offered through the Lifestyle Fitness Center require a highly
experienced staff. Programs for individuals and groups will be offered.
* ,
The professionals directing the LlfOstyte programs ere:
? exercise physiologists to develop an individualized exercise end fitness program based on
each individual's health profile
? certified athletic trainers to work with sports competitors of all ages on injury prevention and
treatment
? certified aerobics instructors
? health educator to increase awareness and develop skills in personal health care
? registered dieticians and nutritionists to design personal meal and food programs
? cardiac rehabilitation specialists to develop healthy hearts
? pulmonary rehabilitation specialist to work with individuals having breathing problems
? physical therapists to aid individuals in muscle injury recovery
? occupational therapists for developing srhall muscles damSgSd by injury
? vocational rehabilitation counselors to assist injured persons' re-entry Into the |ofc?*ortd
The director of the Lifestyle Fitness Center is Randle Mantovani, also director of physical ther
apy at Southeastern General Hospital
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The first 2000 people who complete the questionnaire and come to the 8IGG8 PARK MALL (to
the right of Center Squire) will receive a FREE CAP or VISOR. You can also become a Charter
Member of the Lifestyle Fitness Center. Fitness Center team members will collect your ques
tionnaires, dive you a cap or visor, talk about the center and can sion you up for membership on
the following days:
Friday, December 4,4:30 P.M.-0:30 P.M. |
Saturday. December S. 11:00 A.M.-4HW P.M.
Monday. Oacsmbir 7,4:30 P.M.-0:30 P.M.
Saturday, December 12,11:00 A.M.-4.-00 P.M.
(NAME ? ? ? ?? ?' I m I
I .MH.,
You can qualify for a grand prize if you join