Let's Get Active Miami Gardens Campaign

Take The Pledge!

Increased physical activity can improve health, and quality of life, and reduce healthcare costs. Regular physical activity can help reduce the risk of at least 20 chronic diseases and conditions and provide effective treatment for many of these conditions.

Live Healthy Miami Gardens is encouraging you to take GET ACTIVE PLEDGE, alone or with your friends, family, or co-workers.

Please "Take The Pledge" by completing the survey below. It should take about 4 minutes.

Question Title

* 1. I pledge to increase my own physical activity.

Yes

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* 2. I pledge to encourage my friends, family, and co-workers to get active as well.

Yes

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* 3. As an employer or faith-based organization, I pledge to encourage my members or employees to eat smart and eat more.

Yes

Not applicable

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* 4. Which of the following best describes your affiliation with the City of Miami Gardens? Please check all that apply.

I live in Miami Gardens

I work in Miami Gardens

I worship in Miami Gardens

I attend school in Miami Gardens.

I am a Miami Gardens employer

I am a Miami Gardens faith-based organization

None of the above

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* 5. What is your age?

Under 13

14-17

18-24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

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* 6. What is your gender identity? Select all that apply.

Woman

Man

Transgender

Non-binary/gender non-conforming

I prefer not to say

I prefer to self-describe (please specify)

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* 7. What is your ethnicity? (Mark all that apply.)

Arab/Middle Eastern

Asian/Pacific Islander

Black/African-American

Caribbean

Hispanic/Latino

Native American/Indigenous

White/Caucasian

Biracial/Multiethnic

Other (please specify)

Let's Get Active Miami Gardens Campaign

Take The Pledge!

Question Title

* 1. I pledge to increase my own physical activity.

Question Title

* 2. I pledge to encourage my friends, family, and co-workers to get active as well.

Question Title

* 3. As an employer or faith-based organization, I pledge to encourage my members or employees to eat smart and eat more.

Question Title

* 4. Which of the following best describes your affiliation with the City of Miami Gardens? Please check all that apply.

Question Title

* 5. What is your age?

Question Title

* 6. What is your gender identity? Select all that apply.

Question Title

* 7. What is your ethnicity? (Mark all that apply.)

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* 8. What is your name?

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* 9. What is your email address?

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* 10. If you are an employer or faith-based organization, please provide the entity's name.