Four Wellness Co.
Four Wellness Co.
How happy are you with your overall health?
How do you feel about your current eating habits?
Great! I'm nourishing my body with what it needs
Mostly good, but there are some areas I'd like to improve
Mostly not good
Not good at all
How would you rate your current level of physical fitness?
Excellent -- I can accomplish almost any physical challenge that comes my way
Good -- I have the strength and endurance to comfortably maintain an active lifestyle
Fair -- I'm comfortable with low-intensity physical activity only
Poor -- Small amounts of physical exertion tire me
How is your sleep?
Typically good -- I sleep through the night and feel well rested
Typically not good -- I don't sleep through the night and/or do not feel well rested
How do you feel about your job/career?
Great! It's everything I've hoped for
It's okay, but there are some things I'd like to improve
Not good -- I'd like to leave my job or change careers
Which of the following benefits did you receive from your health coaching program?
Check all that apply.
Improved understanding of my body's nutritional needs
Improved eating habits
Improved physical fitness
Greater career satisfaction
Improved quality of relationships
Fewer feelings of stress, anxiety or worry
Fewer feelings of sadness or loneliness
Greater connection with myself, my goals and my life's purpose
Greater balance in my life
How likely are you to recommend health coaching to a friend or family member?
Not very likely
How satisfied are you with the quality of your health coaching program?
How satisfied are you with the personal outcomes of your health coaching program?
What suggestions do you have for improving your program experience?
Would you like to provide a testimonial regarding your experience?
Do you give permission for your testimonial to be shared on our website?
Yes -- you can use my first name
Yes -- but please keep the comment anonymous