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Know Your Numbers Program Survey
Your feedback and input is valuable as we continue this program in 2018 and beyond. The Know Your Numbers program has officially ended and we would like to hear from you.

Please take a few minutes to answer the questions below and provide your testimonial, which is optional..

Email address *
First and Last Name *
Your answer
How easy was it to opt-in to the Know My Numbers program? *
Very Easy
Very Difficult
Are you planning to continue the overall health and wellness program throughout this year?(Y or N) *
If you answered "No" to the last question, please tell us why.
Your answer
Was the information provided via the website, email and social channels inspiring?
Very inspiring
Not inspiring At All
Please let us know which communication channels used in the program you prefer and find most valuable.
Text Messages
Social Channels(Facebook/linkedIn)
Most Peferred
Less Preferred
Did you learn anything new about your health that you did not know prior to starting the program?
If yes, what did you learn?
Your answer
Was there a particular number or numbers that raised some concern? *
If yes, which numbers were they?
Do you have a plan for managing your numbers moving forward? *
Have you started to make healthier lifestyle choices since the Know Your Numbers Program started?
If yes, check all the areas where you have made healthier lifestyle choices:
Did you make an appointment with primary care provider during this program? *
What improvements would you like to see made to the Health and Wellness Program moving forward? *
Your answer
Please take a few moments to provide your testimonial. Help inspire and motivate other members to get their health journey started today.
Your answer
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