Name *

First Name

Last Name

Which of the following would you say has improved as a result of working with your health coach? Choose all that apply. *

I am working out more consistently and in accordance with PrescriptFit.

I've addressed or am actively addressing an injury or limitation that had been holding me back.

I have greater awareness of the stressors in my life and am actively working on strategies to manage them.

I have an overall better sense of the importance of prioritizing myself and embrace being a work in progress.

Which of the following answers BEST describes your experience with your health coach? *

I didn't know what to expect from the process, but was pleasantly surprised.

They provided help and support I wasn't even aware I needed.

It's a bit hard to say after only 3 sessions, but I'd be open to continuing.

I'm not sure the service is the best fit for me.

In what ways did the guidance of your health coach prove to be valuable? Check all that apply. *

They acted as a sounding board and provided a safe space to share my thoughts.

They provided tailored guidance and recommendations specific to my lifestyle.

They held me accountable by following up in between sessions.

They helped me streamline and prioritize when I was feeling overwhelmed.

None of the above apply to me.

How do you feel about the prospect of continuing to have the monthly check-in with your health coach? Choose the BEST answer. *

Grateful. I feel like we just started to make progress and don't want to lose momentum.

Relieved. I've come to view our monthly chat as precious time to focus on me.

Energized. I have areas of my life I'd like to focus on and am excited to do so.

Indifferent. I'm not sure this dynamic is something I want or need at this time.