Whatcom County Parkscriptions
As part of this pilot program, it is important to begin collecting information about the number of prescriptions of outdoor time made, whether or not people are getting outside and if not, what are the barriers. Thank you so much for taking the time to share this information.
Name of Provider
Do you exercise?
How many times per week do you exercise?
One per week
Twice per week
Three times per week
Four times per week
More than four times per week
Did you spend time outdoors since your last provider visit?
If you have not spent time outdoors what are the barriers that have kept you away?
Lack of time
Lack of Transportation
If yes what did you do outdoors?
How many times in the last week have you spent time outdoors?
How much time (in hours) did you spend outdoors each time?
Less than 30 minutes
30 minutes to 1 hour
1 hour to 1.5 hours
1.5 hours to 2 hours
More than 2 hours
How did you feel after your time spent outdoors?
Any other notes or feedback to add:
Was this the first time you made a "prescription" for time outdoors with this person?
Yes, this was our first conversation
No, this is a follow-up conversation
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