Healthy Weighs Goal and Program Evaluation

1. Healthy Weighs Goal Evaluation

 
1. Think back to the questions you answered on your goal sheet at enrollment and then complete the following:
Please check any/all that apply:
2. Circle what best describes your diet habits after completing Healthy Weighs.
3. Circle what best describes your exercise habits after completing Healthy Weighs.
4. How many times in a week do you eat fast food, carry out or in a restaurant?
5. My weight at the end of the program was (pounds):
6. In regards to the goals I set between session 1 and 2:
I feel I met my goal.I did not meet my goal, but did make progress.I did not meet my goal or make any progress.I don’t remember my goal.
Nutrition Goal:
Physical Activity Goal:
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