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* 1. Name

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* 2. Email

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* 3. Please describe your race/ethnicity. Check all that apply.

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* 4. Gender

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* 5. Please indicate your affiliation(s):

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* 6. If faculty member, indicate division:

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* 7. If staff, indicate division:

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* 8. Are you currently participating in the Employee Fitness Program?

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* 9. Please state 1-2 health/fitness goals you have for spring semester.
Ex: By the end of spring semester, I will be physically active for at least 20 minutes a day, 3 times a week.

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* 10. How do you feel about the construction and current parking dilemma?

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* 11. How are you planning on tackling the parking challenges this semester?

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