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Exit Survey
 
 
Were you as a participant satisfied with the "Journey Forward" program?
 
Completely Satisfied
 
Satisfied
 
Somewhat Satisfied
 
Dissatisfied
 
 
 
Do you feel that each segment of the program was addressed properly?
 
Yes
 
No
 
Unsure
 
 
 
Did this program provide options for healthy food choices?
 
Yes
 
No
 
 
 
Did this program cover important aspects of chemotherapy side effects in relation to your diagnosis?
 
Yes
 
No
 
 
 
How well did the Nutrition Educator explain the purpose of this program to you?
 
Very well
 
Well
 
Not well
 
Unsure
 
 
 
Did this program help you to understand you breast cancer and healthy nutrition options better?
 
Yes
 
No
 
 
 
Were the educational materials provided to you helpful?
 
Yes
 
No
 
 
 
On a scale of 1 to 10, with 1 being the lowest, how would you rate the care and concern provided to you by the Nutrition Educator?
Please explain why.
 
 
 
 
On a scale of 1 to 10, with 1 being the lowest, how would you rate the "Journey Forward program?
Why?
 
 
 
 
Would you recommend this program to others?
 
Yes
 
No