Weight Control Program-Week 12-Post Program Weight Assessment Last week coaching call to re-assess how the driver did and if they met their program goals. Name(Required) First Last Today's Date(Required) MM slash DD slash YYYY PhoneEmail Fleet manager Name or User Code(Required) Driver/User Code(Required) Truck Number(Required) Current Weight (lbs)(Required)Height (in inches)(Required)BMI(Required)How would you rate this program overall?(Required)ExcellentPretty goodNeutralNot so greatTerrible1 star=Terrible....5 stars=ExcellentHow would you rate the nutrition content in this program?(Required)ExcellentPretty goodNeutralNot so greatTerrible1 star=Terrible....5 stars=ExcellentHow would you rate the exercise content in this program?(Required)ExcellentPretty goodNeutralNot so greatTerrible1 star=Terrible....5 stars=ExcellentHow would you rate the accountability resources involved in this program?(Required)ExcellentPretty goodNeutralNot so greatTerrible1 star=Terrible....5 stars=ExcellentWhat helped you succeed most in this program?(Required) Exercise videos Dietitian advice/nutrition content Weekly group accountability calls Weekly weight check-ins Weight loss leaderboard/competing against other drivers The prizes Other Choose all that applyPlease describe if you chose "other"... Would you be interested in helping us film a short motivational video to be featured solely in future Weight Control programs to help motivate drivers to stay the course in our program?(Required) Yes No I'd like to know more before I commit We value your feedback immensely. In your opinion, what would have made our Weight Control Program better?(Required)Was this program easy to follow and stay engaged in? Why or why not?(Required)Are you willing to be featured as one of our success stories? Keep in mind, these can be done anonymously if you'd like to stay private.(Required) Yes No thanks What victories (large or small) did you have in this program?(Required) Weight loss Healthier diet Increased fruit and veggie consumption Cooked in my truck more Decreased sugary drink and snack consumption Got better sleep and felt more rested Increased my daily exercise levels None of the above Other Please check all that applyPlease describe if you chose "other"...
