Post Healthy Diet Survey
Name
First Name
Last Name
Email
example@example.com
Did you stick with eating healthy for the 4-week challenge?
Yes
No
What percentage of the time did you stay committed to healthy eating?
25%
50%
75%
100%
Did you substitute any of the healthier food choices from the brochure?
Yes
No
Were you able to exercise any during this 4-week challenge?
Yes
No
What percentage of the time did you stay committed to exercise weekly?
None
Daily
Three days a week
More than three days a week
Did you experience less pain in your joints while eating healthy?
Yes
No
Do you feel like you have more energy than before?
Yes
No
Did you drink more water than usual?
Yes
No
Was your mood affected in a positive way while trying to eat healthier and exercise?
Yes
No
Do you think that you will continue to try and eat healthier moving forward?
Yes
No
Would you recommend to your friends/family that eating healthy and exercising could improve overall health?
Yes
No
Tell us more about your experience.
Submit
Should be Empty: