5210 Get Physical Challenge (Taylor County) Question Title * 1. Please provide your first and last name: Question Title * 2. Where do you work? Question Title * 3. Please provide a phone number to reach you (for prizes!): Question Title * 4. Week of Challenge Week 1: October 1 - October 7 Week 2: October 8 - October 14 Week 3: October 15 - October 21 Week 4: October 22 - October 31 Question Title * 5. Saturday Physical Activity Minutes Question Title * 6. Sunday Physical Activity Minutes Question Title * 7. Monday Physical Activity Minutes Question Title * 8. Tuesday Physical Activity Minutes Question Title * 9. Wednesday Physical Activity Minutes Question Title * 10. Thursday Physical Activity Minutes Question Title * 11. Friday Physical Activity Minutes Question Title * 12. What type of activities did you perform for physical activity this week? Question Title * 13. Did you increase your level of physical activity this week? Yes No Done