Healthy Habits survey

Thank you for taking the time to complete this evaluation survey. By taking part and sharing your thoughts, we hope to gain feedback from everyone who has attended the Healthy Habits course, evaluate the outcomes and see how we can improve the classes in the future.

With your feedback, we will be able to see how the course has met the needs of those attending and how we can look to best make the course even more accessible to as many people with MS as possible.

The survey should take around ten minutes to complete.

How would you rate the quality of the Healthy Habits course? (Please tick one of the following)

Excellent	Very good	Good	Satisfactory	Poor
ExcellentItem #1 Excellent	Very goodItem #1 Very good	GoodItem #1 Good	SatisfactoryItem #1 Satisfactory	PoorItem #1 Poor

Comments

How would you rate the course facilitator? (Please tick one of the following)

Excellent	Very good	Good	Satisfactory	Poor
ExcellentItem #1 Excellent	Very goodItem #1 Very good	GoodItem #1 Good	SatisfactoryItem #1 Satisfactory	PoorItem #1 Poor

Comments

What have you enjoyed most about the Healthy Habits course?

What have you enjoyed least about the Healthy Habits course?

Was the Healthy Habits course helpful?

Very helpful	Helpful	Neither helpful nor unhelpful	Not helpful	Extremely unhelpful
Very helpfulItem #1 Very helpful	HelpfulItem #1 Helpful	Neither helpful nor unhelpfulItem #1 Neither helpful nor unhelpful	Not helpfulItem #1 Not helpful	Extremely unhelpfulItem #1 Extremely unhelpful

Please explain the benefits and how it may or may not have been helpful for you?

Has the course helped you to feel more positive about yourself and your future? (Please tick one)

Improved	Maintained	Declined
ImprovedItem #1 Improved	MaintainedItem #1 Maintained	DeclinedItem #1 Declined

Has the course helped you to maintain or improve your ability to look after yourself? (Please tick one)

Improved	Maintained	Declined
ImprovedItem #1 Improved	MaintainedItem #1 Maintained	DeclinedItem #1 Declined

Has the course helped you to maintain or improve your participation in work, volunteering, study or any other activities? (Please tick one)

Improved	Maintained	Declined
ImprovedItem #1 Improved	MaintainedItem #1 Maintained	DeclinedItem #1 Declined

How did you find the length of each session? (approximately 1 hour)

Too long	Too short	About right
Too longItem #1 Too long	Too shortItem #1 Too short	About rightItem #1 About right

Please describe what you have learned about Healthy habits on this course?

Do you find yourself continuing to follow what you have learned from the Healthy Habits course after the course has ended?

• Yes
• No

Comments

How could we make the course even better and more relevant for those with MS in the future?

Would you recommend this course to others?

• Yes
• No

Please use the space below to provide a testimonial about your experiences and feelings of the course overall and if there is anything else you would like to let us know?

If you are happy for us to share your feedback, please provide your full name and contact details below so our Communications team can contact you.

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