Adaptive Movements

CORPORATE WELLNESS

Feedback Survey

Adaptive Movements values feedback from all of our clients and individuals in our communities. Please take this opportunity to fill out our feedback survey and help us continue to grow and provide our communities with health and wellness opportunities.

1. In which type of program are you enrolled?

2. In which class are you in enrolled?

3. Would you enroll in this class again?	Yes	No

4. Were your individual needs met in this class?	Yes	No	Explain


5. Are there any adaption’s we can make to better your experience?	Yes	No	Explain


6. Would you recommend this class to others?	Yes	No

7. Do you use our website?	Yes	No

8. Do you visit our Living Green section?	Yes	No

9. Do you have any suggestions for our website?

10. Additional comments and suggestions


This section is only applicable to those enrolled in a special needs program:

1.Diagnosis of participant?

2.Age of participant?

3.In which class is this participant enrolled?

4.Do you use the resources on our website? (Funding Opportunities, Community Resources and Links)