Please enter the following information for every educational workshop, presentation, or outreach your organization has implemented to increase opportunities for physical activity since July 1, 2016. 

What organization are you with?

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* 1. What organization are you with?

What is your name?

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* 2. What is your name?

What is your email address?

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* 3. What is your email address?

Date of the event?

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* 4. Date of the event?

Date
Name and Location of Workshop/Presentation/Outreach

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* 5. Name and Location of Workshop/Presentation/Outreach

Type of Event

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* 6. Type of Event

Frequency of Event

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* 7. Frequency of Event

Total number of participants/Persons reached

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* 8. Total number of participants/Persons reached

Did any members of the following groups participate? (select all that apply)

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* 9. Did any members of the following groups participate? (select all that apply)

For this specific activity, we want to understand if or how Shape UP SF contributed to making it happen:

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* 10. For this specific activity, we want to understand if or how Shape UP SF contributed to making it happen:

  Agree Disagree
This activity would not have happened if SUSF hadn't prioritized increasing opportunities for physical activity.
This activity would not have happened without funding, TA, or other support/encouragement from SUSF.
Additional Comments

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* 11. Additional Comments

T