Northeast Iowa Area Agency on Aging (NEI3A) offers a variety of health and exercise classes are offered in various communities. Classes include: Tai Chi for Arthritis and Fall Prevention and Matter of Balance Workshops.

The Northeast Iowa Wellness and Recreation Center is a sports facility offering various activities for youth and adults. Activities include aerobic classes, treadmills, exercise equipment including free weights, and jogging.

Waukon Wellness Center offers fitness classes, including: cardio, chisel, senior circuit, cardio kick, fitness mix, total body conditioning, yoga, zumba, YogaSculpt, group cycling and circuit challenge. The facilities include cardio and strength equipment; basketball, volleyball, tennis, and racquetball courts.