1. Which Move Improve role(s) do you identify with?

Subject Matter Expert (SME)

Creator

Instructor

Systems Administrator

2A. Origami Exercise *

Rate your experience (1 being the lowest, 5 being the highest)

1

2

3

4

5

2B. Inside the Box Exercise *

Rate your experience (1 being the lowest, 5 being the highest)

1

2

3

4

5

2C. You're the Expert Exercise *

Rate your experience (1 being the lowest, 5 being the highest)

1

2

3

4

5

4. Which of the following Move Improve workshops would you like to be notified when they are scheduled? *

Creator

Instructor

Systems Administrator

6. Would you recommend the Move Improve Certification - The Basics workshop to a friend or colleague? *

Yes

Maybe

No

7. Would you like to be contacted to test out future activities?

Yes!

No

Date of Workshop Attended *

MM

DD

YYYY

Name

First Name

Last Name