Walking Group: Individual Registration

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Welcome and congratulations on joining a walking group!

First Name & First Letter of Last Name *

Name of Walking Group: *

Please rate your overall health in general: *

Excellent

Good

Fair

Poor

Do you currently walk for physical activity? *

Yes

If yes, how many minutes per week?

Less than 30 minutes

30-60 minutes

60-90 minutes

90-120 minutes

More than 120 minutes

Clear selection

I usually exercise *

By myself

With a friend

With a group (2 or more)

With a pet

I do not exercise

Other:

How does walking make you feel? *

What benefits from walking have you experienced? *

What is your purpose for joining a walking group? *

Improving health

Motivation

Fun

Meeting new people

Increasing physical activity

Weight loss

Other:

Required

Submit

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