On a scale of 1 -10 with 1 being poor and 10 being excellent, how would you rate the following:  
 
 
 
1. The learning materials?
 

 
 
2. Yourself with regards completing homework (written, audio, online)?
 

 
 
 
 
3 . Yourself with regards to setting and achieving the goals you set?
 

 
 
 
 
4. The facilitator?
 

 
 
 
 
5. What new habits or skills have you developed?
 
 
 
 
 
6. What goals have you achieved and strategies have you implemented that were developed through the program?
 
 
 
 
 
7. How could we make this program even better for future participants?
 
 
 
 
 
8. What are your thoughts on the overall program?
 
 
 
 
 
Email*
 
 
Please provide the name of the facilitator.*
 
 
Which program are you currently enrolled in?*