Name
First Name
Last Name
Email
example@example.com
Department
Title
Overall Experience
Very Satisfied
Satisfied
Neutral
Very Dissatisfied
How satisfied were you with the Wellness Challenge?
Engagement and Motivation
Health Improvement
Team Bonding
Personal Goal-Setting
Incentives
Other
What motivated you to join the challenge? (Select all that apply)
If other, please specify.
Not Engaged
Little Engaged
Neutral
Somewhat Engaged
Very Engaged
How engaged did you feel throughout the challenge?
What could we do differently to improve your engagement?
Yes
Somewhat
No
Did the challenge activities help you achieve your personal wellness goals?
Were the rewards or incentives motivating to you?
What activities did you find most enjoyable or motivating? Which activities would you like to see in the future?
Please specify what type of rewards you would find more motivating?
Improvements & Suggestions:
Yes
No
Were there any obstacles that prevented you from fully participating?
If possible, please specify. What can we do to better support you?
Any additional feedback or suggestions?
Contact Information
For any questions, concerns, or more information about future challenges, please contact Vanessa Garcia at vgarcia@calwic.org or Jennifer Duran-West at jduranwest@calwic.org. Thank you! ❤
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