Decision-making is about the how, what, why, when (and where) of a course of action and of how to overcome obstacles and to solve problems. Trewatha and Newport (1982) define decision-making as the process of selecting a course of action from among two or more possible alternatives in order to arrive at a solution for a given problem. Thomas (2004) adds that decision-making is what turns thought into action. A decision occurs when a solution to a problem is selected for implementation. It is important to note that decisions can be made either formally or informally. The four main aspects of decision making are the context, objective, options and the criteria. This paper explores how these components can be used to arrive at a decision.

Qualitative data is the one without numerical. The main methods used in collection of qualitative data research include interviews, observations and focus groups. This paper explains in details these three methods, how they are applied in research and their importance in healthcare.

In promoting the physical activities of the population, it is very crucial to understand the factors that need to be considered in the examination of how people engage in activities which are physical in nature. As posited by (John 12) the environment whether psychological, economic, environmental, legal and social have influences the health behaviours of the population in the long run. Nevertheless, the effects of psychological and social environment seem to have adverse effects and will form major focus of this paper. According to (David and Lawrence 44) individual factors such as social support and self-efficacy may function as mediating factors of the environmental-physical predictive relationship. Thus, to clearly demonstrate the effects of both the social and psychological factors on safety of the fitness facility, the paper will examine both the direct and indirect of social and psychological environment on vigorous and intensity fitness activities, walking, moderately intensive fitness activities. To effectively carry out this, the owner of the fitness facilities will be interviewed. The use of these fitness facility owners is because, they have credible and concrete information with regards to the effects of the environment on the safety of fitness facilities as demonstrated below.

Multiple sclerosis (MS) refers to a disease that is chronic affecting the central nervous system (William, 2004). MS results in loss of balance and vision, muscle too lose control and may even become numbness that is lacking sensation. The disease affects about 2.5 million people around the world indicating enormity of pain and suffering to those affected by the disease

Patients with MS suffer from not predictable exacerbation plus remission periods where the duration together with severity on signs is different among patients. An exacerbation refers to sub-acute presence of abnormality in neurological processes. This condition show up in a patient for more than or equal to 24 hours if the patient has no other infection (Wynn, 2004). Exacerbation may be caused by either psychological trauma or physical infection and in other cases changes in heat levels in an environment. Symptoms of an exacerbation include reduced sensation on a body, inhibition to movements, nausea and ataxia.