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Pop-up Workout (Entry Survey)
*
1.
Please select the Month of the Pop-Up Workout you are attending
(Required.)
April
May
June
July
August
September
October
November
December
*
2.
How did you hear about the free Pop-up Workout?
(Required.)
Friend/Family
Facebook/Instagram
Newspaper
TV
Email
Other (please specify)
3.
In what ZIP code do you live? (enter 5-digit ZIP code; for example, 48505)
*
4.
How important is exercise to you?
(Required.)
Extremely important
Very important
Somewhat important
Not so important
Not at all important
*
5.
In general, how would you rate your overall health?
(Required.)
Excellent
Very good
Good
Fair
Poor
*
6.
About how many times in the average week do you engage in 30 minutes of exercise (i.e. brisk walking, light bicycling, aerobics)?
(Required.)
0
1
2
3
4
5 or more