WOW Diabetes Prevention Individual Classes

The Diabetes Prevention Program is a lifestyle change program for preventing type 2 diabetes. This 16-week program will help you make simple changes that may prevent the onset of diabetes.

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* 1. Contact Information

Name

Company

Email Address

Phone Number

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* 2. Instructor

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* 3. Location of Session

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* 4. Please tell us about your group experience for each of the following. Thank you.

	Yes	No
Tracking food and activity levels was a new experience for me	Tracking food and activity levels was a new experience for me Yes	Tracking food and activity levels was a new experience for me No
Other (please specify)
The objectives of the program were clear.	The objectives of the program were clear. Yes	The objectives of the program were clear. No
Other (please specify)
Materials were interesting and easy to understand.	Materials were interesting and easy to understand. Yes	Materials were interesting and easy to understand. No
Other (please specify)
I will be able to use what I learned in the sessions.	I will be able to use what I learned in the sessions. Yes	I will be able to use what I learned in the sessions. No
Other (please specify)
The pace of each class was appropriate.	The pace of each class was appropriate. Yes	The pace of each class was appropriate. No
Other (please specify)
The time and location was convenient.	The time and location was convenient. Yes	The time and location was convenient. No
Other (please specify)
The coach was knowledgeable & well prepared.	The coach was knowledgeable & well prepared. Yes	The coach was knowledgeable & well prepared. No
Other (please specify)
The structure of this class is a good way to help me work towards my health and wellness goals	The structure of this class is a good way to help me work towards my health and wellness goals Yes	The structure of this class is a good way to help me work towards my health and wellness goals No
Other (please specify)

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* 5. What did you find most valuable about this class?

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* 6. What did you find least valuable about this class?

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* 7. Please answer the following questions. Thank you.

	Phone	Email	Online
How did you register for the class?	How did you register for the class? Phone	How did you register for the class? Email	How did you register for the class? Online

Other (please specify)

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* 8. Please answer the following questions. Thank you.

	Yes	No
Was the registration process easy?	Was the registration process easy? Yes	Was the registration process easy? No
Was our staff helpful?	Was our staff helpful? Yes	Was our staff helpful? No

Other (please specify)

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* 9. Would you be interested in participating in other Alternative Programs through WOW? If so, which ones?

Group Health Coaching

Am I Hungry?

Tobacco Cessation

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* 10. Do you have anything else to share? Thank you.

Thank you for completing this survey. Have a good day.