MAY Activity Report Form
Please note, your attendance at the health, cooking, and Tai Chi classes were recorded when you submitted each class evaluation. This report only records your non-class activities.
Last Name *
Your answer
First Name *
Your answer
Did you turn in a self-evaluation health form for APRIL? *
Did you complete a change of habit from the MAY list? *
If yes, which change(s) of habit did you complete?
Did you complete the BONUS POINT CHANGE by repeating one of the past months' habit changes? *
If you completed the BONUS, which activity did you repeat?
Your answer
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