Participant End of Program Evaluation

Overall, rate your opinion of the Weigh To Go program: 1 = Poor - 10 = Excellent
Rate your opinion of the program instructor: 1 = Poor - 10 = Excellent
Did the Weigh To Go program make you feel better?
Did the Weigh To Go program make you more active?
Would you recommend the Weigh To Go program to others?
Describe one significant change in your lifestyle as a result of the program?:
What did you like best about the program?
What did you like the least about the program?
What was the most difficult part of the program?
What suggestions do you have to improve the program?
Please list any chronic diseases you have (diabetes, obesity, etc):
Did the program help you decrease the medication you take?
Are you continuing exercise on your own?
How did you first hear about the Weigh To Go program?: