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Activity Report Self-Assessment
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Activity Report Self-Assessment
Activity Report Self-Assessment
admin
2019-09-09T11:34:56-04:00
Activity Report Self-Assessment
Thank you for taking a few moments to complete and submit this activity report. Your feedback is necessary to evaluate how this program is performing and will help determine and guide its future.
Name
*
First
Last
Facility Name or Place of Activity:
*
Please indicate the day(s) and month(s) on which you participated in the activity/s. Include a description of the activity and the duration for which it was performed (e.g. July 1st- Gym Workout for a 45 minute period).
*
Please provide a short assessment of your progress or benefits received through your wellness pursuits.
*
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