Home Instead Weight Loss Challenge Evaluation

Thank you for your participation in the Home Instead Meltdown Madness Challenge. Please answer the following questions regarding your experience and satisfaction with the program. Responses are confidential and will only be shared in the aggregate form.

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* 1. How would you rate the length of the program?

Too short

Just right

Too long

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* 2. How beneficial were the weekly materials in keeping you motivated and on track with your program goals?

Very Beneficial

Somewhat Beneficial

Neutral

Not Very Beneficial

Not Beneficial at All

If you did not find the weekly materials to be of benefit, what specifically could we do to improve their value for you?

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* 3. Please complete the following statement: "As a result of my participation in the Weight Loss Challenge I.." (Mark all that apply).

maintained my weight (gained no more than a pound)

lost 1-4lbs

lost 5-10 lbs

lost 11-20lbs

lost 20+ lbs

feel better overall

had more energy

reduced blood pressure

reduced cholesterol

reduced glucose

reduced stress

slept better

feel better about myself

built relationships with my fellow coworkers

started a physical activity routine

increased my physical activity routine

became more mindful of the foods I eat

reduced my food portion sizes

Other (please specify)

Question Title

* 1. How would you rate the length of the program?

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* 2. How beneficial were the weekly materials in keeping you motivated and on track with your program goals?

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* 3. Please complete the following statement: "As a result of my participation in the Weight Loss Challenge I.." (Mark all that apply).

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* 4. How confident are you that you will maintain your weight loss or current weight for the next 6 months?