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S.H.A.P.E. Program

Supporting Healthy Activity & Promoting Exercise

The Drake Wellness S.H.A.P.E. Program is designed to reward participants for their good exercise habits and daily activity.

Your Contact Info
Name
Email Address
Position	Faculty Staff Student

Activity	Minutes
Aqua Jogging
Bicycling (Indoor)
Bicycling (Outdoor)
Rowing Ergometer
Running (indoor/outdoor)
Running (treadmill)
Ski Machine
Swimming (lap)
Stairclimbing Machine
Stretching
Walking (indoor/outdoor)
Walking (treadmill)
Weight lifting

Classes	Minutes
Group Exercise
Dancing
Pilates
Tae Kwon Do
Water Aerobics
Yoga

Intramurals/Sports	Minutes
Basketball
Golfing
Handball
Racquetball
Skiing (cross-country)
Skiing (downhill)
Skiing (water)
Volleyball

Household Activity	Minutes
Gardening
House Cleaning
Moving Furniture
Mowing Lawn
Shoveling Snow

Miscellaneous	Minutes
Annual Physical Exam
Fitness Test
Individual Consultation
Massage Therapy
Wellness Program
Other:

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