Please complete this short assessment at the end of your participation in your health coaching program.

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* 1. Member Information

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* 2. Now, compared to when you started your coaching program, how confident are you in your ability to make and maintain healthy lifestyle choices?

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* 3. Now, after your participation in your coaching program, how would you describe your current overall health and wellbeing (physical, mental and emotional)?

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* 4. In the past month, how often have you engaged in behaviors that support your health goals (e.g., physical activity, healthy eating, stress management, adequate sleep, etc.)?

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* 5. Now, after your participation in your coaching program, how ready are you to make changes to improve your health and wellbeing?

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* 6. How did your participation in your health coaching program help with your biggest challenge from the beginning of your coaching program?

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* 7. Health Coach Name

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