Registration: Paradigm Runners C25K Spring 2020

Welcome to Paradigm Runners' Spring 2020 Couch to 5K Program!

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* 1. Contact Information

Name

Address

City/Town

State

ZIP

Email Address

Phone Number

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* 2. What is your current level of physical activity?

Couch Potato (no regular exercise)

Occasionally active

Moderately active

Very active

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* 3. How satisfied are you with your current level of physical activity?

Very satisfied

Satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Dissatisfied

Very dissatisfied

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* 4. How would you rate your current physical health?

Poor

Fair

Good

Excellent

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* 5. How satisfied are you with your current physical health?

Very satisfied

Satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Dissatisfied

Very dissatisfied

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* 6. What motivates you to join this program? (Please rank from most to least important, with 5 being most important and 1 being least important.

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* 7. Please check the boxes for activities in which you are interested.

Pre-Couch to 5K walking program

Couch to 5K program

Ongoing recreational running group

Training group for longer distances (10K, half-marathon, etc.)

Other (please specify)

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* 8. Thank you for registering. You will receive confirmation and additional information in 24-36 hours. Please contact Susan Dragoo at (405) 664-2253 or susan.dragoo@gmail.com if you have any questions.