WOW! Am I Hungry? Program Individual Class Survey

Whenever you make the commitment to make changes in your life, it is important to take time to think about the progress you have made and what you plan to do next. Please share the specific changes that have occurred over the last eight weeks as a result of participating in this program.

Our goal is to provide you with the very best information available on mindful eating. We hope that you enjoyed the program and appreciate hearing from you.

	1 - Strongly Disagree	2 - Disagree	3 - Neutral	4 - Agree	5 - Strongly Agree
Am I Hungry? was professional and well organized.	Am I Hungry? was professional and well organized. 1 - Strongly Disagree	Am I Hungry? was professional and well organized. 2 - Disagree	Am I Hungry? was professional and well organized. 3 - Neutral	Am I Hungry? was professional and well organized. 4 - Agree	Am I Hungry? was professional and well organized. 5 - Strongly Agree
Overall, the book and workbook were informative and interesting.	Overall, the book and workbook were informative and interesting. 1 - Strongly Disagree	Overall, the book and workbook were informative and interesting. 2 - Disagree	Overall, the book and workbook were informative and interesting. 3 - Neutral	Overall, the book and workbook were informative and interesting. 4 - Agree	Overall, the book and workbook were informative and interesting. 5 - Strongly Agree
Overall, the workshops were informative and interesting.	Overall, the workshops were informative and interesting. 1 - Strongly Disagree	Overall, the workshops were informative and interesting. 2 - Disagree	Overall, the workshops were informative and interesting. 3 - Neutral	Overall, the workshops were informative and interesting. 4 - Agree	Overall, the workshops were informative and interesting. 5 - Strongly Agree
My Facilitator was knowledgeable about this program.	My Facilitator was knowledgeable about this program. 1 - Strongly Disagree	My Facilitator was knowledgeable about this program. 2 - Disagree	My Facilitator was knowledgeable about this program. 3 - Neutral	My Facilitator was knowledgeable about this program. 4 - Agree	My Facilitator was knowledgeable about this program. 5 - Strongly Agree
My Facilitator was supportive and helpful during this process.	My Facilitator was supportive and helpful during this process. 1 - Strongly Disagree	My Facilitator was supportive and helpful during this process. 2 - Disagree	My Facilitator was supportive and helpful during this process. 3 - Neutral	My Facilitator was supportive and helpful during this process. 4 - Agree	My Facilitator was supportive and helpful during this process. 5 - Strongly Agree
I would recommend this program to a friend.	I would recommend this program to a friend. 1 - Strongly Disagree	I would recommend this program to a friend. 2 - Disagree	I would recommend this program to a friend. 3 - Neutral	I would recommend this program to a friend. 4 - Agree	I would recommend this program to a friend. 5 - Strongly Agree
I am eating healthier than I did before starting the program.	I am eating healthier than I did before starting the program. 1 - Strongly Disagree	I am eating healthier than I did before starting the program. 2 - Disagree	I am eating healthier than I did before starting the program. 3 - Neutral	I am eating healthier than I did before starting the program. 4 - Agree	I am eating healthier than I did before starting the program. 5 - Strongly Agree
I am confident I will continue to use what I learned in this program.	I am confident I will continue to use what I learned in this program. 1 - Strongly Disagree	I am confident I will continue to use what I learned in this program. 2 - Disagree	I am confident I will continue to use what I learned in this program. 3 - Neutral	I am confident I will continue to use what I learned in this program. 4 - Agree	I am confident I will continue to use what I learned in this program. 5 - Strongly Agree
I feel more in charge of my eating now.	I feel more in charge of my eating now. 1 - Strongly Disagree	I feel more in charge of my eating now. 2 - Disagree	I feel more in charge of my eating now. 3 - Neutral	I feel more in charge of my eating now. 4 - Agree	I feel more in charge of my eating now. 5 - Strongly Agree
I learned strategies to help me eat what I love and love what I eat.	I learned strategies to help me eat what I love and love what I eat. 1 - Strongly Disagree	I learned strategies to help me eat what I love and love what I eat. 2 - Disagree	I learned strategies to help me eat what I love and love what I eat. 3 - Neutral	I learned strategies to help me eat what I love and love what I eat. 4 - Agree	I learned strategies to help me eat what I love and love what I eat. 5 - Strongly Agree
I have a better relationship with food now.	I have a better relationship with food now. 1 - Strongly Disagree	I have a better relationship with food now. 2 - Disagree	I have a better relationship with food now. 3 - Neutral	I have a better relationship with food now. 4 - Agree	I have a better relationship with food now. 5 - Strongly Agree

1 - Strongly Disagree

2 - Disagree

3 - Neutral

4 - Agree

5 - Strongly Agree

Am I Hungry? was professional and well organized.

Am I Hungry? was professional and well organized. 1 - Strongly Disagree

Am I Hungry? was professional and well organized. 2 - Disagree

Am I Hungry? was professional and well organized. 3 - Neutral

Am I Hungry? was professional and well organized. 4 - Agree

Am I Hungry? was professional and well organized. 5 - Strongly Agree

Overall, the book and workbook were informative and interesting.

Overall, the book and workbook were informative and interesting. 1 - Strongly Disagree

Overall, the book and workbook were informative and interesting. 2 - Disagree

Overall, the book and workbook were informative and interesting. 3 - Neutral

Overall, the book and workbook were informative and interesting. 4 - Agree

Overall, the book and workbook were informative and interesting. 5 - Strongly Agree

Overall, the workshops were informative and interesting.

Overall, the workshops were informative and interesting. 1 - Strongly Disagree

Overall, the workshops were informative and interesting. 2 - Disagree

Overall, the workshops were informative and interesting. 3 - Neutral

Overall, the workshops were informative and interesting. 4 - Agree

Overall, the workshops were informative and interesting. 5 - Strongly Agree

My Facilitator was knowledgeable about this program.

My Facilitator was knowledgeable about this program. 1 - Strongly Disagree

My Facilitator was knowledgeable about this program. 2 - Disagree

My Facilitator was knowledgeable about this program. 3 - Neutral

My Facilitator was knowledgeable about this program. 4 - Agree

My Facilitator was knowledgeable about this program. 5 - Strongly Agree

My Facilitator was supportive and helpful during this process.

My Facilitator was supportive and helpful during this process. 1 - Strongly Disagree

My Facilitator was supportive and helpful during this process. 2 - Disagree

My Facilitator was supportive and helpful during this process. 3 - Neutral

My Facilitator was supportive and helpful during this process. 4 - Agree

My Facilitator was supportive and helpful during this process. 5 - Strongly Agree

I would recommend this program to a friend.

I would recommend this program to a friend. 1 - Strongly Disagree

I would recommend this program to a friend. 2 - Disagree

I would recommend this program to a friend. 3 - Neutral

I would recommend this program to a friend. 4 - Agree

I would recommend this program to a friend. 5 - Strongly Agree

I am eating healthier than I did before starting the program.

I am eating healthier than I did before starting the program. 1 - Strongly Disagree

I am eating healthier than I did before starting the program. 2 - Disagree

I am eating healthier than I did before starting the program. 3 - Neutral

I am eating healthier than I did before starting the program. 4 - Agree

I am eating healthier than I did before starting the program. 5 - Strongly Agree

I am confident I will continue to use what I learned in this program.

I am confident I will continue to use what I learned in this program. 1 - Strongly Disagree

I am confident I will continue to use what I learned in this program. 2 - Disagree

I am confident I will continue to use what I learned in this program. 3 - Neutral

I am confident I will continue to use what I learned in this program. 4 - Agree

I am confident I will continue to use what I learned in this program. 5 - Strongly Agree

I feel more in charge of my eating now.

I feel more in charge of my eating now. 1 - Strongly Disagree

I feel more in charge of my eating now. 2 - Disagree

I feel more in charge of my eating now. 3 - Neutral

I feel more in charge of my eating now. 4 - Agree

I feel more in charge of my eating now. 5 - Strongly Agree

I learned strategies to help me eat what I love and love what I eat.

I learned strategies to help me eat what I love and love what I eat. 1 - Strongly Disagree

I learned strategies to help me eat what I love and love what I eat. 2 - Disagree

I learned strategies to help me eat what I love and love what I eat. 3 - Neutral

I learned strategies to help me eat what I love and love what I eat. 4 - Agree

I learned strategies to help me eat what I love and love what I eat. 5 - Strongly Agree

I have a better relationship with food now.

I have a better relationship with food now. 1 - Strongly Disagree

I have a better relationship with food now. 2 - Disagree

I have a better relationship with food now. 3 - Neutral

I have a better relationship with food now. 4 - Agree

I have a better relationship with food now. 5 - Strongly Agree

WOW! Am I Hungry? Program Individual Class

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* 1. Which Am I Hungry? program did you participate in?

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* 2. Who was your instructor?

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* 3. Please share your thoughts on the Am I Hungry? program.

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* 4. Please rank the following statements:

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* 5. If you participated in the webinar program, how easy did you find it to follow along with the material?

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* 6. If you participated in the "listen anytime" pre-recorded program, what did you find most helpful?

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* 7. Are you willing to let us use your comments and name so we can share this approach with other people?

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* 8. Is there anything else you would like to add?