Thank you for taking the time to tell us about your experience with our health coaching programs.  The information you provide is confidential and will be used to improve our health coaching programs.

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* 1. Member Information

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* 2. How long have you been participating in a health coaching program?

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* 3. Which health coaching program are you enrolled in?

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* 4. What changes to your health habits have you made as a result of participating in this coaching program?

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* 5. How satisfied are you with your health coaching program?

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* 6. How satisfied are you with your health coach?

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* 7. Would you recommend health coaching to others?

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* 8. Are there any changes that would make your health coaching program better? If so, please share below.

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* 9. Please use this space to share any additional information about your experience with our health coaching programs.

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* 10. What change and/or success related to your health are you most proud of? (for example: "I lost 10 lbs and kept it off", "I improved my blood pressure and no longer need to take medication", "I have been consistent with my deep breathing exercises", "I improved my Personal Health Score" etc.)

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* 11. Can we share your feedback with your name when sharing about the coaching program?

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* 12. How likely is it that you would recommend this wellness company to a friend or colleague. (Using a scale of 0 - 10 with 0 being Not likely and 10 being Very Likely)

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* 13. Would you be interested in small group health coaching?

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* 14. If you are interested in small group health coaching, which topic would be of interest to you?