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* 2. What behavior change are you wanting to make?

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* 3. Did completing this program help you determine your readiness for making your behavior change?

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* 4. How long did it take you to complete this program?

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* 5. How much do you agree with the following statements about this program?

  Strongly Agree Agree Somewhat Agree Disagree Strongly Disagree No Opinion
The format was an effective way to present the topic
It was easy to move through
It was clear and organized
The content was easy to understand
The tools and resources were helpful
I gained helpful information and skills
I would recommend this program to others

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* 6. Which sections of this program did you find most helpful? (Choose all that apply)

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* 7. Which of the following concepts or tools did you or do you plan to use to help you make your change? (Choose all that apply)

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* 8. Now that you have completed this program, what actions do you plan to take toward your health goals? (Choose all that apply)

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* 9. This program would be better if:

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* 10. Overall, how would you rate this program?

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* 11. Please use the space below to provide additional comments about the program:

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* 13. Age (Number format, for example, 45)

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* 16. Do you receive your health care at a military hospital or clinic?

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* 17. How did you learn about this online program?

Thank you for your time. We value your input and strive to create programs specific to your needs. When you click the Done button you will be routed to the program resources and handouts. We wish you much success in reaching your healthy lifestyle goals.

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