Living Well Class Completion Survey

1.First Name(Required.)
2.Last Name(Required.)
3.What is your 6-Digit Employee Identification Number?
(SLCo Employee = EIN; SLCo Employee Designee = EIN + 1)
(Required.)
4.Please select:(Required.)
5.Your age group:(Required.)
6.Are you a current Healthy Lifestyles participant?(Required.)
7.What is the name of the class that you enrolled in?(Required.)
8.What is the main reason you registered for a Living Well Class?(Required.)
9.What format was the class held in that you attended?
10.Did you like the format that which the program was conducted and why?
11.How would you rate your experience with the Living Well Class?(Required.)
Very Dissatisfied 
Dissatisfied 
Neither satisfied nor dissatisfied 
Satisfied 
Very Satisfied 
Class Time 
Class Instructor
Education and materials that were taught and provided
12.In your opinion, did attending the class have any positive effect on your health?(Required.)
13.On a scale of 1-5 (1 being not likely and 5 being very likely), how likely are you to apply any information you learned during this program?
14.What did you learn from attending the Living Well class?
15.Is there anything that you disliked from the class that you attended?(Required.)
Current Progress,
0 of 15 answered