What services have you received from Wellness Your Way (check all that apply)? Nutrition Counseling Personal Training Other Services (menu preparation, metabolic rate testing, diet analysis) Please rate the following based on your experience with Wellness Your Way: 1. I have seen improvements in my muscle tone/shape Strongly Disagree Disagree Neutral Agree Strongly Agree NA 2. I have been better able to manage my weight Strongly Disagree Disagree Neutral Agree Strongly Agree NA 3. I have been better at sticking to an exercise program Strongly Disagree Disagree Neutral Agree Strongly Agree NA 4. I feel better overall (more energy, self-confidence) Strongly Disagree Disagree Neutral Agree Strongly Agree NA 5. I am more aware of what and how much I eat Strongly Disagree Disagree Neutral Agree Strongly Agree NA 6. I have improved my eating habits Strongly Disagree Disagree Neutral Agree Strongly Agree NA 7. I have learned new skills to help me reach my goals Strongly Disagree Disagree Neutral Agree Strongly Agree NA 8. Jenn has provided proper motivation, feedback and support Strongly Disagree Disagree Neutral Agree Strongly Agree NA 9. I would recommend Wellness Your Way to others Strongly Disagree Disagree Neutral Agree Strongly Agree NA Additional Comments and/or Suggestions: Please uncheck this box if you DO NOT want your additional comments and/or suggestions used as a testimonial for Wellness Your Way's marketing purposes.