Wellness Workdays Registration WWD: Spring 2021 Registration Name* First Last Would you like to have an alias for the leaderboard?* Alias Email* Phone*Age*Gender* Affiliation*FacultyStaffUndergraduate StudentMaster's StudentPhD StudentDepartment*BiostatisticsClinical Health and PsychologyDean's OfficeEnvironmental and Global HealthEpidemiologyHealth ScienceHealth Services ResearchOccupational TherapyPhysical TherapyRehabilitation ScienceSocial and Behavioral SciencesSpeech, Language, and Hearing SciencesArea*AdministrativeGrants CoreITLab/ResearchPost-DocProgram* What are you looking forward to most during this challenge?*What is your main motivation for participating in this challenge?*Do you currently have any health or wellness goals?* Yes No If yes, do you mind sharing your goals?*Have you participated in any wellness programs previously at the University of Florida?* Yes No If yes, please describe the program(s) you have participated in.*In which of the following categories would you place yourself? (Check only one)* I’m not interested in pursuing a healthy lifestyle. I have been thinking about changing some of my health behaviors. I am planning on making a health behavior change within the next 30 days. I have made some health behavior changes but I still have trouble following through. I have had a healthy lifestyle for years. What is your preferred method of communication?* Email Text Phone Call Zoom Meeting Consent* By checking this box, I authorize any of the information or materials disclosed may be used for marketing activities, public relations, educational purposes, or publication.