Exit this survey FITZONE WINTER 2017 In order to complete your registration, Please read the following waiver and indicate below you have read and understood this document. Question Title * 1. I understand by agreeing, my signature is being transferred electronically, and I will not challenge the validity of the signature in any legal proceeding in which this document may be offered or used. Yes No Question Title * 2. Last Name Question Title * 3. First Name Question Title * 4. University ID No. Question Title * 5. Email Question Title * 6. Department Question Title * 7. Are you a UCLA Health/Med Center staff member? Yes No FIT Zone - Workouts for work breaks! These workouts are located close to where you work and are FREE for all UCLA Staff & Faculty. Sign-up, drop-in, and get active! These classes are designed to help UCLA Staff & Faculty manage stress; increase mental clarity and productivity; get fit, stay fit, and be well! Question Title * 8. Please select the classes that you are interested in attending. This is not a commitment to attend (you are free to drop in to ANY Fitzone class at any time without signing up). However, this helps us get a rough head count and helps us email specific updates for specific classes when announcements arise. Back Health/Alexander Technique (please enroll by using other link in the email. It also listed on the Fit Zone web page) Basketball Hula Hoop Meditation Laugh Your Abs Off Piyo Soccer Tai Chi Total Body Workout Wet Workout Yoga Yoga Pre/Post Natal Zumba or Dance It Out Question Title * 9. FIT Sports Use drop-in sports to get active and enjoy the camaraderie of your colleagues with FREE Lunch Time Leagues. Drop-in for a game or form a department team if you want! Either way, it's easy . . . just show up at the gym with your UCLA ID and play! We apologize in advance for times when fields or courts are unavailable due to weather or maintenance. Basketball M/W/F 12-1pm SAC Gym Soccer T/Th/F 12-1pm North Athletic Field Question Title * 10. On average, how many Fit Zone classes do you plan on attending each week? 1+ 2+ 3+ 4+ 5+ Question Title * 11. How long have you been attending Fitzone Classes? I am new to Fitzone classes and will be attending for the first time 1-2 quarters 1 year 1.5 years 2 years 3 years 4 years or more Question Title * 12. How have Fitzone classes impacted your life? Greatly improved my physical fitness Helped me maintain my physical fitness Helped me with stress management on the job or in life Have made it more likely for me to workout because of the convenience Have improved my quality of life All of the Above None of the Above Other (please specify) REGISTER