Fitness/Recreation Facility Accessibility Survey

Questions with a [*] require an answer.

The University of Illinois at Chicago is looking for health and fitness professionals who are employed at a fitness/recreation facility to complete an accessibility survey on their facility as a part of a national study. Facility staffs who participate in the study will have the option to receive feedback and advice on ways to further improve the accessibility of their facility.

Are you interested in being a part of our study?

Yes, I would like to be a part of this study

Complete the information below so that we can contact you with the materials for the study.

Completing this information only indicates that you are interested. You are free at any time to decide that you would no longer like to be a part of the study. All information will be kept confidential.

[*] Name

Title

[*] E-mail address

Phone number

Name of organization

Name of facility

Facility location

If you would simply like more information on the study, contact Sangeetha Padalabalanarayanan "Sangi" at spadal3@uic.edu or 312-996-0013