28 Day Challenge (Pre-Event Survey)

Designed to help you rebalance your green time and screen time, this challenge is not for the faint of heart and isn’t to be taken lightly. Get ready to reset your relationship with technology, reconnect with nature, and drastically improve your mental and physical health! 

Before the challenge begins, we kindly request you complete this pre-challenge survey. We'll also ask you to complete a post-challenge survey shortly after things wrap-up. This will help us better understand the impact our 28 Day Challenge has on participants' health and wellness. Both surveys should take approximately 5 minutes to complete.

Participation in this challenge, and completion of these surveys, is completely optional. However, participants must make a good faith effort to participate in the challenge and complete both the pre and post survey to be eligible to win the Fjallraven Classic tickets.

If you have any questions or concerns about this form, please reach out to us at info@natureunplugged.com.
Sign in to Google to save your progress. Learn more
First and Last Name *
Email Address *
Gender *
What is your age? *
Where are you located (city, state)? *
What factors are motivating your participation in this challenge? Please select all that apply. *
Required
Participants are asked to observe 7 daily rules throughout the 28 day challenge. Please indicate how challenging you believe it will be to follow each rule.
 *
1 (Not at all)
2 (Minimally)
3 (Somewhat)
4 (Significantly)
5 (Extremely)
Create a digital curfew
Find a home for your home
No tech/screens in the bedroom
No tech/screens during meals
No tech/screens in the bathroom
No (personal) social media use
30 minutes of movement, outside
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Experience Nature Unplugged. Report Abuse
Google Forms