Take Control of Your Health
Workshop Evaluation
Thank you for participating in the “Take Control of Your Health” program.

Please tell us your thoughts about the workshop.

1.	The leaders were well prepared.

Strongly Agree Agree Disagree Strongly Disagree

2.	The classes were well organized.

Strongly Agree Agree Disagree Strongly Disagree

3.	As a result of this workshop, I have made changes in my lifestyle, i.e., healthy eating, exercise, etc.

Strongly Agree Agree Disagree Strongly Disagree

4.	I would recommend this workshop to a friend or relative.

Strongly Agree Agree Disagree Strongly Disagree

What other changes have you made as a result of this class?

Other comments or suggestions:

ACS-20

SEP 11	For Workshop Leaders Only:

Date:

Site:

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ACS-20, Workshop Evaluation

ACS-20, ACS, workshop evaluation, participant, take control of your health

2011-09-16

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