Fitness Buddies Faculty/Staff Fitness Buddies Registration First Name: Last Name: Preferred Form of Contact: - Select -TextCallEmail Email Address: Phone: Age: Gender: - Select -MaleFemaleNon-binary Race/ethnicity: Department: Do you have a campus recreation center membership?: Yes No Do you have a preference for type of Fitness Buddy?: Undergraduate Intern Graduate Student Faculty Staff No Preference What is your primary motivation for signing up for Fitness Buddies?: Enjoyment: To have fun Fitness: To get in shape or stay in shape Health: To be healthier and feel better Appearance: To change body composition Competence: To take on a new challenge and learn new ways to be active Social: To meet new people and be supported by peers Other If Other, please explain: What have been your greatest challenges or barriers to being active in the past? Select all that apply: I didn’t have enough time I didn’t have anyone to be active with or keep me accountable for my goals I didn’t have a gym to go to I didn’t know what to do to be active or get in shape I haven’t found activities I enjoy What are you most looking forward to about Fitness Buddies?: Fitness Background: Beginner Intermediate Experienced List your favorite activities to get moving. Did a particular fitness buddy seem to match your interests based on their bio? If so, please list here? Preferred day you would like to meet with a Fitness Buddy: Monday Tuesday Wednesday Thursday Friday Time of day: Early Morning Before Work Mid-Morning Lunch Afternoon Evening After Work Please describe any limitations or special considerations that we need to know about, so we can move safely together: