Behavioral Change Program Impact Survey
Please provide your feedback on the behavioral change program.
How satisfied are you with the program overall?
1
2
3
4
5
Which aspects of the program did you find most helpful?
Workshops
One-on-one coaching
Group activities
Educational materials
Follow-up support
Have you noticed any positive behavioral changes since participating?
Yes
No
Not sure
Please describe any specific changes you have experienced.
Would you recommend this program to others?
Yes
No
Maybe
Additional comments or suggestions
Submit
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