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2012 Shape Up Montana Survey
RequiredRequired Question(s)

Thank you for taking the time to complete this survey.
Your input is valuable to us as we prepare for the 2013 program.


Have a fun and active Summer
!

 

 

 
1.

Team Name

 

50 characters left.
2.

Name of Company

 

50 characters left.
Required 3.

Which category did your team participate in?

Activity Beginner
Activity Beginner & Weight Loss
Activity Intermediate
Activity Intermediate & Weight Loss
Activity Experienced
Activity Experienced & Weight Loss
Activity Professional
Activity Professional & Weight Loss
Activity Family
Activity Family & Weight Loss
Weight Loss Only
Required 4.

How many years have you participated in Shape Up?

 

First Year!
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
All 10 Years!
Required 5.

During Shape Up, I: (check all that apply)

 

Read the Weekly Articles
Completed A Weekly Personal Challenge for bonus miles
Completed A Monthly 5 A Day Veggie & Fruit Challenge
Tried The Weekly Animated Exercises
Viewed the ACE Videos
Used the New Goggle Route tracker map
Used the Activity Calculator/Wellness Calculators
Participated in the Shape Up Week March 12-18 (free week at health club)
What? I didn't know about any of this
  • Comment:

  • 500 characters left.
Required 6.

What would you say, in general, your health was at the START of Shape Up?

Very Good
Good
Fair
Poor
Other  
  • Comment:

  • 500 characters left.
Required 7.

What would you say, in general, your health is NOW?

Very Good
Good
Fair
Poor
Other  
  • Comment:

  • 500 characters left.
Required 8.

During Shape Up, I:

Exercised More/Was More Active
Maintained Current Level of Exercise/Activity
Exercised Less
Other  
  • Comment:

  • 500 characters left.
Required 9.

During Shape Up I: (check all that apply)

 

 

Ate more Fruits and Vegetables
Ate the same amount of Fruits and Vegetables
Ate fewer Fruits and Vegetables
Cut down on eating fast food
Cooked healthier and more often at home
Tried one or more of the Eat Right Montana recipes
Other  
  • Comment:

  • 500 characters left.
10.

At the conclusion of Shape Up please indicate, from the following statements, if you benefited.
(
check all that apply)

More physically fit
Feel healthier
Clothes fit better
I achieved/came close to my goals
I can workout longer than ever before
Feel better about myself overall
Feel more productive at work
Prevented or lessened health problems
Other  
  • Comment:

  • 500 characters left.
11.

What factors made it easier for you to get active and/or achieve your goals? (check all that apply)

Family members
Peers at work
Friends
Pedometer
Wanted to feel healthy
Wanted to lose weight
The exercises/personal challenges/articles provided
Didn't want to let the team down
Exercising with a teammate
Other  
  • Comment:

  • 500 characters left.
12.

At the end of Shape Up, I:

Lost Weight
Maintained Current Weight
Not applicable, did activity division
Other  
  • Comment:

  • 500 characters left.
13.

If Weight Loss was your goal, please indicate about how many pounds you lost.

1 - 9
10 -19
20 -39
40 or more
  • Comment:

  • 500 characters left.
14.

Did this program help you lead a healthier lifestyle?

Yes
No
  • Comment:

  • 500 characters left.
15.

Do you see yourself continuing to practice a healthy lifestyle?

Yes
No
  • Comment:

  • 500 characters left.
16.

Were you pleased about the outcome or difference Shape Up had on your life?

Yes
No
  • Comment:

  • 500 characters left.
17.

Would you recommend Shape Up Montana program to a friend?

Yes
No
  • Comment:

  • 500 characters left.
18.

Will you be participating in Shape Up in 2013?

 

Yes!
No
Not sure at this time
  • Comment:

  • 500 characters left.
19.

Please share your thoughts about the Shape Up Montana program.

 

 

1000 characters left.