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Kultured Wellness 1:1 Program Evaluation Form

Kultured Wellness Optimal Gut Health Program

 

 Click the button below to start.

 

Start

Question 1 of 48

Name

Question 2 of 48

Contact Number (Optional)

Question 3 of 48

Would you like us to contact you in regards to this feedback form?

A

Yes

B

No

Question 4 of 48

1:1 Program Coach:

Question 5 of 48

One on One Coaching Experience

 

Please outline some of the positive experiences of having a personal coach

Question 6 of 48

One on One Coaching Experience

 

In what ways could your experience with your coach have been improved?

Question 7 of 48

One on One Coaching Experience

 

Were you able to develop a rapport and trusting relationship with your coach?

A

Yes

B

No

Question 8 of 48

One on One Coaching Experience

 

Any other comments or feedback in relation to your program coach?

Question 9 of 48

Online Educational Content

Were your expectations met regarding the online work modules?

A

Yes

B

No

Question 10 of 48

Online Educational Content

 

Was the educational content easy to understand?

A

Yes

B

No

Question 11 of 48

Online Educational Content

 

Did you find the time required to complete the online modules achievable?

A

Yes

B

No

Question 12 of 48

Online Educational Content

 

Did you find the program roadmaps supportive and understandable?

A

Yes

B

No

Question 13 of 48

Online Educational Content

 

Did you have any other comments about the online learning modules and content?

Question 14 of 48

Protocol Supplements

 

Were the instructions for using the detox tools understandable?

A

Yes

B

No

Question 15 of 48

Protocol Supplements

 

Were the instructions for taking your herbal cleanses and supplements easy to follow?

A

Yes

B

No

Question 16 of 48

Protocol Supplements

 

Do you have any other comments about the supplement resources and content?

Question 17 of 48

Naturopathic Support

 

Were your expectations met regarding support from your practitioner?

A

Yes

B

No

Question 18 of 48

NATUROPATHIC SUPPORT

 

Do you have any further comments about your naturopathic care?

Question 19 of 48

Online Facebook Coaching Support

 

Did you use the Facebook group during your program?

A

Yes

B

No

Question 20 of 48

Online Facebook Coaching Support

 

Did you find the Facebook group a supportive and helpful environment?

A

Yes

B

No

Question 21 of 48

Online Facebook Coaching Support

 

Were you comfortable using the Facebook group for your questions and queries?

A

Yes

B

No

Question 22 of 48

 Online Facebook Coaching Support

 

Were your expectations met regarding support from your online health coaches?

A

Yes

B

No

Question 23 of 48

Online Facebook Coaching Support

 

Do you have any further comments about the online support forum?

Question 24 of 48

Admin Support

 

Were your expectations met regarding support from our administration team?

A

Yes

B

No

Question 25 of 48

Admin Support

 

Do you have any further comments about the Admin support?

Question 26 of 48

Shipping and Ordering

 

Were your products shipped in a timely fashion?

A

Yes

B

No

Question 27 of 48

Shipping and Ordering

 

Were you able to get support for your shipping if needed?

A

Yes

B

No

C

NA

Question 28 of 48

Shipping and Ordering

 

Were your expectations met regarding shipping and ordering?

A

Yes

B

No

Question 29 of 48

Shipping and Ordering

 

Do you have any further comments about the shipping and ordering?

Question 30 of 48

 

Program Expense

 

Did the cost of the program meet your expectations?

A

Yes

B

No

Question 31 of 48

Program Expense

 

Did the program represent value for money for you?

A

Yes

B

No

Question 32 of 48

Personal commitment / Goal Setting / Achievements

 

Do you feel you were able to commit fully to the program during your time here?

A

Yes

B

No

Question 33 of 48

Personal commitment / Goal Setting / Achievements

 

If not, what barriers did you experience?

Question 34 of 48

Personal commitment / Goal Setting / Achievements

 

List some of your main achievements as a result of the program.

Question 35 of 48

Personal commitment / Goal Setting / Achievements

 

How can we support you further in continuing on your health journey?

Question 36 of 48

General

 

Overall, what do you feel could be improved about the Kultured Wellness 1:1 program?

Question 37 of 48

General

 

Please share what you felt we did best.

Question 38 of 48

General

 

What do you feel could be added to add value to the program?

Question 39 of 48

 

General

 

Please rate how significant the changes to your health have changed during the program.

(1 being low, 10 being highest)

A

1

B

2

C

3

D

4

E

5

F

6

G

7

H

8

I

9

J

10

Question 40 of 48

General

 

Has the program improved your ability to understand your health and health goals? In what ways?

Question 41 of 48

General

 

Would you be interested in recording a testimonial of your journey?

A

Yes

B

No

Question 42 of 48

 

If yes, would you be open to us contacting you?

A

Yes

B

No

Question 43 of 48

 

Any further comments or feedback?

Question 44 of 48

Post Program Health Journey

 

Have you heard of Kulture Krew for your post program continuation?

A

Yes

B

No

Question 45 of 48

Post Program Health Journey

 

Have you seen the post program care and consultation bundles available?

A

Yes

B

No

Question 46 of 48

Post Program Health Journey

 

Are you planning on undertaking post program care to continue your health journey?

A

Yes

B

No

Question 47 of 48

 

If not, what support do you need to stay on your health journey?

Question 48 of 48

Free Gift Selection:

Your preferred choice of therapeutic tea? We will ship to you automatically after your submission is complete.

A

Adrenal Tea

B

Sleep Tea

C

Immune Tea

Confirm and Submit