Fit Pass SA...Tell Us What You Think! Question Title * 1. Tell us a little bit about yourself. Age: Gender: Height: Weight: Zip Code: Question Title * 2. How did you hear about the Fit Pass SA program? Question Title * 3. When did you start participating in the Fit Pass SA program? June 2013 July 2013 August 2013 September 2013 October 2013 November 2013 After December 2013 Question Title * 4. Which best describes your current physical activity level? Not Very Active or Sedentary (Less than 75 minutes per week) Somewhat Active (At least 75 minutes per week) Moderately Active (At least 150 minutes per week) Very Active (More than 150 minutes per week) Question Title * 5. How many Fit Pass SA events and/or activities have you attended? 2 or Less 3 to 5 5 to 10 10 to 15 15 to 20 More than 20 Question Title * 6. Does your participation in the Fit Pass SA program encourage you to adopt healthier habits and increase your amount of physical activity? Yes No Question Title * 7. Have you received any incentive items for participation in the Fit Pass SA program? If so, what? Do you have suggestions for incentive or 'give away' items? Question Title * 8. Do incentive items and giveaways motivate you to participate? What motivates you to exercise? Question Title * 9. Are there any barriers to you participating in the Fit Pass SA program? If so, what are they? Question Title * 10. How would you rate you overall experience with the Fit Pass SA program? Poor Fair Neutral Good Great! Poor Fair Neutral Good Great! Question Title * 11. Please leave us your comments about the Fit Pass SA program. Done