Post-Training Questionnaire

This questionnaire is designed to help us learn how to cater our trainings to better meet future participants' needs and goals. Any information you provide may be stored and used in accordance with our Privacy Policy.

Please complete the questionnaire quickly with your initial thoughts and feelings. There are no "right" or "wrong" answers. If you would prefer to remain anonymous, you can leave your name/email blank.

About you

The following section informs our efforts in offering programs to diverse populations, per our Code of Ethics. All questions in this section are optional and all information is confidential.

Name:

First NameLast Name

Email:

Location:

Street Address

Street Address Line 2

CityState / Province

Country

City:

Country:

Birthdate:

MonthDayYear

Please select all of the following that apply to you:

Profession(s):

Inclusivity Matters

The following section informs our efforts in ensuring diversity and inclusivity. Any information you provide may be stored and used in accordance with our Privacy Policy. For the purpose of confidentiality, any identifying information will be removed or changed before data is used in any way.

Gender identity:

Please specify your gender identity:

Please specify your sexual orientation:

Age:

Ethnicity:

Other

What is your household income? (Please answer in the most appropriate currency)

About the training

Which training did you take?

Other

Where did you take your training?

Location of training attended:

Street Address

Street Address Line 2

CityState / Province

Country

Start date of your training:

MonthDayYear

How did you hear about the training?

Which organization or individual referred you to the course?

Please give more information about the social media platform and content through which you heard about the training:

e.g., I saw a post about the training by Eat Breathe Thrive on Facebook

How/where did you hear about the training?

Please give source and specific (physical or virtual) location

Had you previously completed an Eat Breathe Thrive program or training, prior to this training?

What would say to someone who was considering signing up for Eat Breathe Thrive Module One? How has the training benefited you personally and/or professionally?

In your own words, please tell us about your experience in the training. Would you recommend it to others? Why or why not?

Which element(s) of the training did you find most helpful?

Testimonials help us to secure funding for scholarships and get the word out about our work. Would you be willing to share a testimonial? You can talk about your experience, how the training helped you, or something you might want others to know if they are considering this course. (These can be completely anonymous, or you can add your name, if you'd like.)

Option to upload a short video or audio testimonial:

Upload a File

On a scale of 1–5 (1 = not at all; 5 = entirely), please rate the extent to which you feel that the training helped you:

Understand the four pillars: functional action, embodied intimacy, inner awareness, and self-regulation

	1	2	3	4	5

1 is Not at all, 5 is Entirely

Learn practices to end cycles of restricting, overeating, and substance abuse

	1	2	3	4	5

1 is Not at all, 5 is Entirely

Understand the concept of interception, and how it ties in with one's relationship with food

	1	2	3	4	5

1 is Not at all, 5 is Entirely

Coordinate breath, movement, and awareness in the yoga practices

	1	2	3	4	5

1 is Not at all, 5 is Entirely

Understand how the nervous system works, and what role it plays in depression, anxiety, and other mental health challenges

	1	2	3	4	5

1 is Not at all, 5 is Entirely

Build a sense of authentic connection with others in the group

	1	2	3	4	5

1 is Not at all, 5 is Entirely

Gain tools to apply to your personal experience

	1	2	3	4	5

1 is Not at all, 5 is Entirely

Gain tools you can apply in your professional work

	1	2	3	4	5

1 is Not at all, 5 is Entirely

Learn practices to end cycles of restricting, overeating, and substance abuse

	1	2	3	4	5

1 is Not at all, 5 is Entirely

Please rate the following statements on a scale of 1-5 (1 = strongly disagree, 5 = strongly agree) as they apply to your experience of the training.

The training felt organized.

	1	2	3	4	5