Exit this survey FITZONE WINTER 2016 In order to complete your registration, Please read the following waiver HERE 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. First Name Question Title * 3. Last Name Question Title * 4. Department Question Title * 5. Email 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 * 6. 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 Basketball Hula Hoop Mindful Walking and Meditation Laugh Your Abs Off Pilates and Conditioning Piyo Soccer Tai Chi Total Body Workout Wet Workout Yoga Yoga Pre/Post Natal Zumba Question Title * 7. Special Opportunity! Back Health/Alexander Technique Enrolled Class!There are 5 sections to choose from. Choose the day and time you will be able to commit to attend once per week throughout the quarter. We only have space for 15 participants in each section. First come, first serve. You must enroll by Tuesday, January 5th, 2016 at 12noon. You will be notified of whether or not you are one of the lucky few who get to take this course on Wednesday, January 6th 2016. If you don't get in this quarter, we will give you priority the next quarter. Thank you. Tuesday January 12th-March 15th, 12:05-12:55pm, Perloff Hall Rm. 1302 Tuesday January 12th-March 15th, 1:30-2:25pm, Wilshire Center Suite 130 Thursday, January 14th-March 17th, 12:05-12:55pm, Perloff Hall Rm. 1302 Thursday, January 14th-March 17th, 1:30-2:25pm, Wilshire Center Suite 130 Thursday, January 14th-March 17th, 4:10-5:10pm, Wilshire Center Suite 130 Question Title * 8. On average, how many Fit Zone classes do you plan on attending each week? 1+ 2+ 3+ 4+ 5+ 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 12-1pm SAC Gym Soccer T/Th 12-1pm North Athletic Field or IM Field Question Title * 10. 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 * 11. 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