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Recipe for Success 2024
Name
(Required)
First
Last
Associate/Contractor #
(Required)
E-mail
(Required)
I am: (Choose One)
(Required)
Associate
Contingent/Contractor
Retiree
Spouse/Dependent
Wellness Center Affiliation:
(Required)
WWC Watson Wellness Center (Marysville, OH)
AWC Associate Wellness Center (Anna, OH)
ADC Recreation Center (Raymond, OH)
ELP Wellness Center (East Liberty, OH)
TMP-O Activity Center (Russells Point, OH)
Torrance Fitness Center (Torrance, CA)
AAP Wellness Center (Lincoln, AL
Please choose what facility you attend most often.
My Goal for the FIRST WEEK:
Finding Consistency
Gaining Strength
Improving Nutrition
Losing Weight
Releasing Tension
Please choose a goal to strive for in the first week of the program. Once you've completed this goal, you can repeat the goal or you can choose a new goal.
Pre-Program Survey
Why did you choose to participate in this program?
Approximately how often do you exercise?
1-2 times a week
3-4 times a week
5-7 times a week
Do you feel your nutrition is helping you reach your health and fitness goals?
Yes
No
Are there any self-care practices you enjoy? Please share them here.
Describe your overall mood.
Feeling Negative Often
Feeling Negative Sometimes
Feeling Positive Sometimes
Feeling Positive Often