Lifestyle Survey - Fitness & Wellness Programs

Question Title

* 1. Your first and last name:

Question Title

* 2. Your email:

Question Title

* 3. I participate as a(n):

Other (please specify)

Question Title

* 4. I describe myself as:

American Indian/Alaskan Native

Asian American

Black or African American

Hispanic or Latinx

Native Hawaiian/Pacific Islander

White/Caucasian

Prefer not to answer

Other (please specify)

Question Title

* 5. Your team or school name:

Question Title

* 6. Which Special Olympics area do you belong to?

Question Title

* 7. What Healthy Communities Program are you participating in?

Question Title

* 8. What is your t-shirt size?

Question Title

* 9. After participating in this program, I can make healthier choices about nutrition:

True

False

Unsure

Question Title

* 10. After participating in this program, I can make healthier choices about hydration:

True

False

Unsure

Question Title

* 11. After participating in this program, I can make healthier choices about exercise:

True

False

Unsure

Question Title

* 12. After participating in this program, I feel better about my mental health:

True

False

Unsure

Question Title

* 13. This program helped me achieve my health goal:

True

False

Unsure

Lifestyle Survey - Fitness & Wellness Programs

Question Title

* 1. Your first and last name:

Question Title

* 2. Your email:

Question Title

* 3. I participate as a(n):

Question Title

* 4. I describe myself as:

Question Title

* 5. Your team or school name:

Question Title

* 6. Which Special Olympics area do you belong to?

Question Title

* 7. What Healthy Communities Program are you participating in?

Question Title

* 8. What is your t-shirt size?

Question Title

* 9. After participating in this program, I can make healthier choices about nutrition:

Question Title

* 10. After participating in this program, I can make healthier choices about hydration:

Question Title

* 11. After participating in this program, I can make healthier choices about exercise:

Question Title

* 12. After participating in this program, I feel better about my mental health:

Question Title

* 13. This program helped me achieve my health goal:

Question Title

* 14. What health goal did you accomplish?

Question Title

* 15. What was your favorite part about participating in this program?

Question Title

* 16. Did you notice any positive changes in your health after participating in this program? Please share!

Question Title

* 17. Do you have any suggestions to help us improve this program?

Question Title

* 18. Upload photos from your program: