Straightline Survey

Women's Walking Group Interest Survey

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Can we text you? *

What is your age? *

Where do you live? *

What interests you in a walking group? *

Exercise Socializing Being Outdoors Safety Getting to Know Neighors Exploring Neighborhood

When can you walk? *

Weekday Mornings Weekday Afternoons Weekday Evenings Weekend Mornings Weekend Afternoons Weekend Evenings

How often would you like to walk? *

Daily Weekly 2-6 times/week Monthly

How long is your ideal walk *

30 minutes 45 minutes 60 minutes More

Preferred Walking Pace *

Slow Medium Fast

Are you more of a: *

Do you wear headphones? *

Are you interested in walking with dogs? *

Want a leadership role? *

Any thoughts/questions/concerns *

I agree to receiving marketing and promotional materials

Submit

Straightline Dance Fitness
34 13th Avenue Northeast, 104C
Minneapolis, MN 55413
[email protected]
612-385-4218

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