Fit and Strong! Innovation Readiness Assessment

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Thank you for your interest in Fit and Strong!. Fit and Strong! is an evidence-based, physical activity/ health behavior change program for older adults with osteoarthritis. The program meets three times per week for 8 weeks. Each session lasts 90 minutes. The first hour of each session includes flexibility, low-impact aerobics, strengthening, and balance exercise, followed by 30 minutes of health education for disease self management. Topics focus on managing arthritis through sustained physical activity. Class size ranges from 15-20 participants. Instructors must have either a national certification in exercise instruction or PT/PT aide licensure, OT/OT aide licensure, or a bachelor’s degree in exercise physiology, kinesiology, or exercise science. Persons who do not meet one of these criteria but have successfully delivered A Matter of Balance (MOB) or the Chronic Disease Self-Management Program (CDSMP) are also eligible to participate in instructor training. The customary instructor training lasts eight hours and reviews the program evidence, describes program components, including exercise demonstrations and health education role plays, and explains data collection and procedures to check fidelity. Instructors trained only in MOB or CDSMP complete a twelve-hour training, which provides additional training in exercise physiology, safety and provides opportunities for trainees to demonstrate exercise mastery. Sites that have offered the program include senior centers, park district facilities, independent and assisted living communities, YMCAs, and medical centers. Licensed sites may offer the program as many times per year as they like.

The following survey contains questions that will help you determine your organization’s readiness to implement Fit and Strong!. The survey should take about 15 minutes to complete. You will be emailed a readiness report upon completion of the survey. Please answer survey questions from the perspective of your organization and not your personal perspective. We suggest that you familiarize yourself with Fit and Strong! by visiting our website before beginning the survey. We also encourage you to print a blank copy of the survey before beginning so that you are able to see what is asked in case you to need to collect information to include on the survey. Click here to access a PDF version. 

When ready to begin, simply click the “Next Page” button below to begin the survey.

Q1 - Organization Details

Direct-lines can be added on the next page

Hours of Operation
Population Served

Social Networks (if applicable)

Contact Details

Q2 - Contact

Assessment Section 1 of 14

Select all that apply

Assessment Section 2 of 14

Q6 - What is your agency’s level of experience with the following?

1 = No Experience
6 = Very Experienced
1 2 3 4 5 6

Assessment Section 3 of 14

Select  all that apply

Select  all that apply

Assessment Section 4 of 14

Select  all that apply

Q10 - What is your agency’s level of experience with the following?

1 = No Experience
5 = Very Experienced
1 2 3 4 5

Assessment Section 5 of 14

Q11 - How would you describe each of the following groups with regard to their support for implementing Fit and Strong!?
Would champion it Would support it Would need to be convinced it was worth the effort Would not support it Would oppose it Don't know/not applicable

Assessment Section 6 of 14

Assessment Section 7 of 14

Q17 - Please indicate how strongly you agree or disagree with the following statements:

1 = Strongly Disagree
6 = Strongly Agree

1 2 3 4 5 6

Assessment Section 8 of 14

Assessment Section 9 of 14

Select  all that apply

Assessment Section 10 of 14

English Spanish Chinese Other Total %
Q20 - Approximately what percentage of your clients speak the following as a primary language?

Assessment Section 11 of 14

Q23 - Within the last three years, has your agency had a partnership with any of the following?
Formal relationship/written agreement Informal relationship  No relationship

Assessment Section 12 of 14

Select all that apply

Select all that apply

Assessment Section 13 of 14

Q27 - If Fit and Strong! is implemented at your organization, who will have PRIMARY responsibility for each the following functions:
Executive and managerial staff Existing staff members (not including instructors) Instructors

Q28 - The following statements describe various dimensions associated with implementing Fit and Strong!. Please indicate the degree of difficulty your organization would have if you adopted Fit and Strong! in your organization. How difficult would it be for your organization to: 

1 = Very Difficult
5 = Not at all Difficult
1 2 3 4 5

Q29 - Please indicate how strongly you agree or disagree with the following statements:  

1 = Strongly Disagree
5 = Strongly Agree
1 2 3 4 5

Assessment Section 14 of 14

Q30 - As an evidence-based program, Fit and Strong! has some fidelity requirements. How difficult would it for your organization to do each of the following:  

1 = Very difficult
5 = Not at all difficult
1 2 3 4 5

You're Finished! 

Thank you for taking the time to complete the Fit and Strong! readiness assessment survey.  

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You will also receive a confirmation email. 

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