Your environment can affect your fitness on many levels. Such as transportation. The more auto transportation opportunities you have, the less likely you are to either walk, bike, run, and so on. The atmosphere of your environment plays a huge role too. Is your city/town busy or slow going? The temperature. If it is sunny out, people can tend to want to be outdoors more than if it were raining or cold. There are plenty of factors, but sometimes it just varies on the people and their motivations.
By keeping the care at the highest possible level that you can offer and going above and beyond the job.