Register for the HAL Online program

The Healthy and Active for Life Online program is for NSW adults aged 60 years and over (45 years and over for Aboriginal people) and aims to build participants' fitness, knowledge, skills and confidence to lead active and healthy lives. The program will help you learn how to make small, sustainable changes in your lifestyle to improve your health, and includes tips on healthy eating and basic exercise.

Please note that the exercises included in this program are designed for beginners. This program is not suitable for those who already attend a regular exercise program (excluding walking groups).

Before you complete the registration form, make sure you have your GP's contact details, your email address and your emergency contact details available. You will also need to enter a password so you can access the Healthy and Active for Life Online program once your registration is complete.

Please note that each person participating in the program must complete this registration and enter in their individual email address.

Register for a Healthy and Active for Life program

Are you of Aboriginal or Torres Strait Islander background?

Date of birth

Do you walk independently? Walking independently means that you do not use a walking stick, walking frame or any other walking aid to assist you.

Can you walk safely inside your house without using a walking frame?

Do you have any cognitive impairments that may limit your ability to follow instructions and/or participate in group activities? For example, Dementia, Parkinson's Disease or Stroke.

Do you live in the community? (not in a nursing home)

Do you already attend a weekly exercise program (excluding walking groups)? Note: The exercises included in this program are designed for beginners and may not be appropriate for adults who already participate in a regular exercise program.

Have you attended Stepping On in the last three years?

Pre-exercise screening

Next, we have a few questions about your health.

Has your medical practitioner (e.g. doctor) ever told you that you have a heart condition or have you ever suffered a stroke? Heart conditions include, but are not limited to: post myocardial infarction (heart attack), angina, coronary artery bypass, coronary angioplasty, heart failure, cardiomyopathy, heart transplant, pacemaker insertion, congenital heart disease, heart valve disease, and peripheral arterial disease.

Do you ever experience unexplained pains or discomfort in your chest at rest or during physical activity/exercise? Any unexplained chest pains that feel like constriction, burning, knifelike pains, and/or dull ache.

Do you ever feel faint, dizzy or lose balance during physical activity/exercise? There are many causes of feeling faint or dizzy. Examples of dizziness may include, but are not limited to: light-headedness or the feeling of nearly fainting, loss of balance or other sensations such as floating or swimming.

Have you had an asthma attack requiring immediate medical attention at any time over the last 12 months? Medical attention refers to a medical practitioner or hospital visit following an asthma attack. It does not include the self-administration of medications prescribed for asthma.

If you have diabetes (type 1 or 2) have you had trouble controlling your blood sugar (glucose) in the last 3 months? Trouble controlling blood sugar refers to suffering from hyperglycaemia (high) or hypoglycaemia (low).

Do you have any muscle, bone or joint problems that could be made worse with physical activity/exercise? Examples include: recent bone fractures, surgeries or injuries.

Do you have any other conditions that may require special consideration for you to exercise? Examples include: acute injury, epilepsy, transplants, and cancer.

First name

Surname

Address

Suburb

State

Postcode

Local Government Area

Contact phone

Alternate phone

Gender

What is the highest level of education you have attained

Are you a carer? A carer is any individual who provides care and support to a family member or friend who is unwell, lives with a disability, mental illness, alcohol or drug dependency, chronic condition, terminal illness or who is frail due to age.

Do you speak a language at home other than English?

Which Language?

Emergency contact name

Emergency contact phone

Emergency contact relationship? For example, husband, wife, son, daughter.

General practitioner name

General practitioner address

General practitioner phone

RESEARCH PARTICIPATION - NSW Health is interested to know if this program is helpful and improve it for future delivery. To learn about your experience with this program, a researcher may contact you (by phone) once you’ve completed this program. Do you agree for your contact details to be passed onto the researcher?

How did you hear about the course?

If other, please specify

I understand that the Healthy and Active for Life Online program has been designed for the general, healthy population. I understand that by participating in the Healthy and Active for Life Online program, I agree to follow the advice and instruction included in the program. I understand that there are risks involved in participating in exercise and I declare that I am physically fit and able to participate in exercise. I understand that I should stop exercising if I experience any adverse effects or symptoms and should seek medical advice. By completing this form, I agree to participate in the Healthy and Active for Life Online program voluntarily, and acknowledge the risks involved.

Create an Online Login

In order to participate in Healthy and Active for Life Online you will need to create an account. Please enter your email address and a password. Please keep a record of your password as you will need it to log in to your Healthy and Active for Life Online account.

Password

Your password must be Good or better. Try more than 8 characters, multiple words, punctuation and digits to improve your password.

Unfortunately the Healthy and Active for Life Online program is not suitable for you. This program is for NSW adults aged 60 years or over, or NSW Aboriginal people aged 45 years and over.

Please review the NSW Active and Healthy website to find a suitable exercise program in your local. You may also like to register for the Get Healthy Information and Coaching Service to receive free health coaching.

Unfortunately the Healthy and Active for Life Online program is not suitable for you. Please review the NSW Active and Healthy website to find a suitable exercise program in your local. You may also like to register for the Get Healthy Information and Coaching Service to receive free health coaching.

Medical Clearance Required

You have selected 'Yes' to one or more of the pre-exercise screening questions.

To ensure your safety while participating in the Healthy and Active for Life Online program, you will be required to complete a GP clearance form with your doctor and return it to the NSW Active Ageing team.

When you complete the details below and submit your registration, the NSW Active Ageing team will email you the GP clearance form. Please check your inbox (or junk mail box).