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Mid-Program Survey
GomoWPAdmin
2019-05-14T19:12:07+00:00
Please rate your general level of wellness on a scale of 1-10:
*
(10 is excellent, 1 is poor)
-- Please Select --
10
9
8
7
6
5
4
3
2
1
Please indicate your level of agreement or disagreement with the following statements:
*
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I am confident of my ability to manage my everyday life.
I have appropriate support and resources to help me manage my life.
I am a happy and hopeful person.
The number of messages that you have been receiving is:
*
Just right
Wish there were more
Too many
Which of the topics below have you find most helpful about this program?
*
(Please check all that apply)
Coping
Support
Referral to Services
Quality of Life/Wellness
What types of messages do you wish there would been more of?
*
(Please check all that apply)
More instructional/educational messages
More motivational/emotionally supportive messages
More lifestyle/general tips
Information on other topics
What other topics would you have liked covered as part of this program?
*
Additional Comments
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