COPES Month 1 Survey
First name
*
May we contact you to follow up on the answers provided in this survey?
*
Yes
No
If yes, what is your preferred method of communication?
Email
Text
Phone Call
Was it easy to enroll in the COPES program?
*
Yes
No
Were you satisfied with how the COPES program was explained to you?
*
Please Select
Not satisfied at all
Neutral
Somewhat satisfied
Satisfied
Extremely satisfied
How helpful do you anticipate COPES being to your care journey?
*
Please Select
Not helpful at all
Neutral
Somewhat helpful
Helpful
Extremely helpful
How helpful do you anticipate each of the following features in COPES to be?
1-on-1 nutrition specialist sessions:
*
Please Select
Not helpful at all
Neutral
Somewhat helpful
Helpful
Extremely helpful
24/7 messaging with experts:
*
Please Select
Not helpful at all
Neutral
Somewhat helpful
Helpful
Extremely helpful
Recipes & meal planning:
*
Please Select
Not helpful at all
Neutral
Somewhat helpful
Helpful
Extremely helpful
Videos & classes:
*
Please Select
Not helpful at all
Neutral
Somewhat helpful
Helpful
Extremely helpful
Goal, activity, weight and food tracking:
*
Please Select
Not helpful at all
Neutral
Somewhat helpful
Helpful
Extremely helpful
Please add any additional comments you may have about your experience with the COPES program (Optional):
Submit
Should be Empty: