Skip to Main Content
Do Not Show Again
How Do I...
Select a Category
Commissioner of the Revenue
Parks & Recreation
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Fitness Center Survey
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Reimbursement has been limited in the past to employees and their spouses only, are there others you would like included in our program?
Would you terminate your gym membership if premium reimbursements are not offered next year?
The city is looking into an alternative incentive for the fitness center reimbursement program. Which of the following incentives appeal to you?
Earning points in IPROPEL to purchase items of my choice
Receiving a city issued credit toward my fitness center premiums each month (regardless of the gym and the number of days I attend).
Expanding the number of contracted gyms with reduced rates for city employees
Utilizing a city owned fitness center at no charge
Receiving a discount toward my medical insurance premiums
Alternative Incentive - Other
Of the following, which would you prefer be included in our Reimbursement Program (for you or a member of your household)?
Gym, fitness center/studio, health club, swim & tennis club memberships and fees
Fitness and nutrition counseling
Fitness and sports classes/lessons
Personal trainer sessions
Martial arts instruction
Sports league or team fees
Weight loss and smoking cessation programs, including memberships
Yoga, Pilates, and meditation classes
Health Assessments and Preventive Screenings
In March we reimbursed employees for making the required number of monthly visits to the gym during 2019. Did you receive any reimbursement for visits you made or your spouse made?
Fitness Centers have begun Phase 2 of the re-opening after Covid-19 closures. When do you plan to return to the fitness center?
Immediately – As soon as they open
Soon – Within the next 3-6 months
I’m not sure – I need more time to decide.
I plan to cancel my membership
What are your thoughts about paying the fitness center directly each month verses having a payroll deduction?
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
* indicates a required field
Property Assessment Search
Agendas & Minutes
Apply for a Job
Newport News Now E-newsletter
Bids & RFPs
Open Budget Portal
Frequently Asked Questions
Project Status Report
GeoHub Newport News
Slideshow Left Arrow
Slideshow Right Arrow