Evaluation Survey Download Evaluation Survey Your Name (required) Your Email (required) 1. When I make a plan to eat healthy I can do it. AlwaysMost of the timeSometimesNot very oftenNever 2. I give up on exercise before I finish it. AlwaysMost of the timeSometimesNot very oftenNever 3. I choose to eat fresh fruit rather than junk food. AlwaysMost of the timeSometimesNot very oftenNever 4. When I make a plan to exercise, I can do it. AlwaysMost of the timeSometimesNot very oftenNever 5. I can calm myself down when I need to. AlwaysMost of the timeSometimesNot very oftenNever 6. I feel stressed at home before going to sleep at night. AlwaysMost of the timeSometimesNot very oftenNever 7. I can remember to floss my teeth every day. AlwaysMost of the timeSometimesNot very oftenNever 8. When I am mad or sad, I get happy pretty fast. AlwaysMost of the timeSometimesNot very oftenNever 9. I like myself. AlwaysMost of the timeSometimesNot very oftenNever Please check the box below.
