PATH Health Coaching Survey
Thank you for participating in health coaching. Please take a moment to complete this survey so that we may gather your feedback. This survey is confidential and your individual information will not be shared with your employer.
1.
Company Name:
2.
Rate your overall satisfaction of your health coaching experience.
1 - Not at all satisfied
2 - Somewhat Satisfied
3 - Neutral
4 - Very Satisfied
5 - Extremely Satisfied
3.
Health coaching has improved my satisfaction at work.
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
4.
As a result of the lifestyle changes I made after participating in health coaching, I have stopped taking medication.
Yes
No
N/A
Optional - Please share the medication you stopped using and/or the condition the medication was being taken for.
5.
Would you like to see health coaching continue at your workplace?
Yes-If employer covers the cost
Yes-I will cover the cost when employer doesn't cover
No
6.
Did you have any changes in your health? These can be intangible changes. Some examples include; stress level decrease, weight loss, increase in exercise, personal satisfaction in mental health, etc. If so and if you are comfortable, please share these changes. Please be specific.
7.
What did you find that was most valuable from participating in the health coaching program? Please be specific.
8.
Please provide any additional comments/suggestions regarding your coaching experience. Please be specific.
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