Overall I am satisfied with the D3 program.
Overall I am satisfied with the D3 program.
Option One
D3 is the perfect program for me.
D3 is the perfect program for me.
Option One
I am likely to recommend D3.
I am likely to recommend D3.
Option One
Before I started at D3, I worked out an average of ___ times per week.
Since I started at D3, I work out ___ times per week.
Leave blank if the item does not apply.
I feel tired.
I feel tired.
Option One
I feel overweight.
I feel overweight.
Option One
I get enough exercise.
I get enough exercise.
Option One
I am motivated to exercise.
I am motivated to exercise.
Option One
I eat healthy.
I eat healthy.
Option One
I feel pain (back, knee, etc.)
I feel pain (back, knee, etc.)
Option One
I have low self esteem.
I have low self esteem.
Option One
I am motivated at work.
I am motivated at work.
Option One
I have supportive and/or loving relationships.
I have supportive and/or loving relationships.
Option One
Name
Name
Not required, you may submit an anonymous survey.