Healthy Living Program New Class/Workshop Survey 2025-2026

Please complete the survey to provide the Healthy Living Program Coordinator at NE DHHS at least 4 weeks prior to the start of class with the details of your upcoming class/workshop. If you have questions, need to later change any provided information, or end up cancelling the class/workshop, email sarah.godejohn@nebraska.gov.

Question Title

1. Which evidence based program are you leading a class/workshop for? (Required.)

Living Well with Chronic Conditions (Chronic Disease Self-Management)

Workplace Living Well (Workplace Chronic Disease Self-Management)

Living Well with Diabetes (Diabetes Self-Management Program)

Living Well with Chronic Pain (Chronic Pain Self-Management Program)

Health Coaches for Hypertension Control

Diabetes Prevention Program

Diabetes Self-Management Education & Support

Question Title

2. What funding opportunities are being utilized to offer this class/workshop? (Required.)

2320 Diabetes Funds

Cardiovascular Program Funds

Block Grant Funds (PHHSBG Funds)

State Obesity Funds

RHTP Funds

Other (please specify)

None of the above

Healthy Living Program New Class/Workshop Survey 2025-2026

Question Title

* 1. Which evidence based program are you leading a class/workshop for? (Required.)

Question Title

* 2. What funding opportunities are being utilized to offer this class/workshop? (Required.)

1. Which evidence based program are you leading a class/workshop for? (Required.)

2. What funding opportunities are being utilized to offer this class/workshop? (Required.)