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Move & Win Participant Evaluation
1.How did you learn about Move & Win? (Check all that apply.)
TV
Radio
Newspaper
Poster
At work
At school
At church
At community event
Health care provider
Friend
2.What is your age?
3. Was it easy for you to register for Move & Win?
Yes
No
4.How important were prizes for you to participate?
Very Important
Somewhat Important
Not Important
5. What encouraged you most to participate?
Tracking Log
Reasonable Goal
Team Participation
Personal Need
Community Event
Other
6. If you participated less than 8 weeks, what would have helped you to continue?
Reminders
Incentives
Having an exercise partner
Educational sessions
Other
7. How many weeks should Move & Win run?
4 weeks
6 weeks
8 weeks
10 weeks
12 weeks
8. Did Move & Win help you to _________
Begin doing physical activity
Add more physical activity to your day
Be active on more days
Support your efforts to continue doing physical activity
Other
9. Would you participate in Move & Win again?
Yes
No
Unsure
10.What changes would improve this program for you?