1. Exit this survey Question Title 1. Your contact information: Your First and Last Names: Your email address: Phone number (day and evening): Question Title 2. Gender: Male Female Question Title 3. Age Range: 18 to 23 24 to 35 35 to 45 46 to 55 56 and over Question Title 4. Which part of the power walking group interests you the most: The social aspect of the group The physical aspect of getting into shape/staying fit The social and physical aspects are equally important to me Other (please specify) Question Title 5. Describe the elements of a perfect walking group and/or social experience for YOU? What are your expectations?You may want to include things like making new friendships, power walking competitions, safety in numbers or whatever you would like to see in this group or have happen. Question Title 6. Please specify your approximate current walking speed within an hour: less than 5 K 5 K 8 K over 8 K specify any other information about walking distance or speed Question Title 7. Check all the answers that apply to you concerning your walking skill level, motivation, and health. I am a beginner I hold my own I am very physically fit I take walk because I want or need more physical exercise I walk for the social experience Walking gets me out of the house Power walking is an interest and passion of mine I look forward to chatting over coffee or a bite to eat after exercise I am under a doctor's care with health issues that may effect my walking Other (please specify) Question Title 8. What days of the week are best for you: Sunday Monday Tuesday Wednesday Thursday Friday Saturday Holidays (be specific in "other" section Any day is fine for my schedule It depends on my schedule, I'll let you know as soon as I know. Which holidays would work for you? Question Title 9. What size of group is most comfortable for you? 1 other person is fine 2 to 4 people 5 to 8 people more than 8 people, the more the merrier It really doesn't matter to me how many people show up for a walk Other (please specify) Question Title 10. How did you hear about Roehampton Walking Group? 70 Roehampton Avenue Poster 25 Broadway Avenue Poster Internet Surfing A Friend told me Other Please specify type of who referred you. Done