Walk Wednesday 2016 Survey Question Title 1. How many times have you participated in a Walk Wednesday group walk in 2016 ? 0 1-2 3+ Question Title 2. Does starting the group walk at noon work for your schedule? Yes No Question Title 3. Would you prefer a time that does not start on the hour? such at 12:15? Yes No Other (please specify) Question Title 4. What is the length of time for the actual walk that works best for your schedule? 20 minutes 30 minutes 40 minutes less than 20 minutes Other (please specify) Question Title 5. What are your top two months out of the summer that you would join our group walks? April May June July August September Other (please specify) Question Title 6. So we can better plan walk locations, please list the company you work for or your closest cross street Boeckman Creek School Coca-Cola of Wilsonville Convergys (Stream) Costco Flir Fred Meyer Gillespie Graphics Hartung Glass Houston's Kinetics Mentor Graphics NW Housing Oregon Child Development Coalition (OCDC) Oregon Dental Orepac Pioneer Pacific College Rockwell Collins Subway Corporate Sysco Foods Tyco Electronics Victory Academy Vision Plastics Wilsonville High School XEROX Wilsonville Walkers Add your Company or cross street here Question Title 7. Do you prefer a weekly or monthly walk, if it was offered near your worksite? Weekly Monthly Question Title 8. Are you interested in becoming a walk SMART coordinator for your worksite? Yes No Question Title 9. Do you prefer group walks or to walk on your own? Prefer to walk on my own schedule Prefer to walk with others in a weekly group walk Question Title 10. Do you prefer a different location each week, or the same walk each week? Different location each week Same location each week Question Title 11. Would your worksite be interested in becoming a program partner to Walk Wednesday for 2017? If so please provide your email so that we can follow up with you. Yes No contact of appropriate person who can facilitate partnership. Question Title 12. Please tell us how you heard about the Walk Wednesday series, or suggestions to improve the program. (Optional) Question Title 13. Do you plan to participate in Walk Wednesday 2017? Yes, sometimes No, never Yes, one or two Yes, as many as I can Other (please specify) Next >>