​​​Participants
​Forms for Participants
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Based on the Take Action! module your company is participating in, choose either the fruit and vegetable or physical activity forms below. Your Team Captain will give you this information at your first team meeting.​

Registration Forms​

Turn this form in to your Team Captain before the start of Take Action!
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​​​ ​Turn this form in to your Team Captain before the start of Take Action!
​​FV-Registration-Form.gif
Fruit and Vegetable
Registration Form
(PDF 164KB)
​PA-Registration-Form.gif
Physical Activity
Registration Form
(PDF 166KB)

Mid-Point Goal Re-Evaluation Forms​

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Do you need to reset the goal that you set for yourself? Fill out this form during the 5th week of Take Action! and return it to your Team Captain.
​​FV-Mid-Point-Re-Evaluation.gif
Fruit and Vegetable
Mid-Point Goal
Re-Evaluation Form
(PDF 110KB)
​PA-Mid-Point-Re-Evaluation.gif
Physical Activity
Mid-Point Goal
Re-Evaluation Form
(PDF 105KB)


Participant Evaluation Forms​

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Congratulations on completing Take Action!. Fill out this form to let us know what you thought and return it to your Team Captain.​​
​FV-Participant-Evaluation.gif
Fruit and Vegetable
Participant Evaluation Form
(PDF 100KB)
​PA-Participant-Evaluation.gif​
Physical Activity
Participant Evaluation Form​
(PDF 101KB)​
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