2017 StairWELL Challenge Registration Question Title * 1. Please list contact information: First Name Last Name Employee ID Email Address Question Title * 2. How often do you currently take the stairs? Never Sometimes I take the stairs Always, I take the stairs as much as possible Question Title * 3. In a typical day, how many flights of stairs do you currently take? I don't regularly take the stairs 1-5 flights per day 5-10 flights per day 10+ flights per day Question Title * 4. Have you heard of Texas Children's new initiative Step Up for Patients & Families First? Yes No Question Title * 5. How would you rate your committment level to taking the stairs during the challenge? Low level of committment Moderate level of committment High level of committment Question Title * 6. What do you hope to achieve or gain by participating in the StairWELL Challenge? Please select all that apply: Improve fitness level Spend more minutes each week being physically active Socializing and meeting new friends/peers in the stairwells Fun, amplify unity and stronger connection with co-workers and organization Serving patients and families first, by providing them priority access to the elevators Question Title * 7. Please share other well-being goals. Done
