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* 1. What is your gender?

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* 2. What is your age?

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* 3. During the past week, how many times were you physically active 30 minutes or more throughout the day?

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* 4. Did you participate in the Summit Health walking challenge last year (2017)?

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* 5. Please choose which most accurately reflects your health insurance coverage.

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* 6. Please provide your zip code.

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* 7. Do you feel that you currently get as much physical activity as you need, or less than you need?

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* 8. Do you currently plan time throughout your week to get physical activity?

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* 9. Are you currently involved in a walking group and/or regularly walk with a friend and/or family member?

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* 10. A) Who is your employer? AND B) How did you hear about this challenge?

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