client survey | QuestionPro

What is your personal definition of health?

Have you ever worked with an RD before?

No

Yes

If so, did you find it successful?

Yes

No

What is your occupation?

Can you identify any barriers that may keep you from receiving support, or the services offered?

Does your employer give incentives for physical activity? If so, please give an example

How many days are you physically active?

0-1

2-3

4-5

6+

Tell me your 2-3 key responsibilities each day, and tell me what percentage of time you spend on each?

What is your preferred method of payment?

How much would you be willing to pay per hour?

Have you ever thought of yoga or meditation as a healing art?

Can you tell me about an experience, or something you have been proud of in the past? now?

What is the ideal person you would like to be, or your best self?

What is the gap between now and your vision?

If so, identify a key challenge

What is your preferred form of contact?

Would you consider a distance learning program?

Yes

No

Maybe