Please help us to serve you better by completing this survey. It should take around 5 minutes to complete.

Program Evaluation

On a scale of 1 - 4 please rate the following

  • Wait time before starting cardiac rehabilitation
    PoorFairGoodExcellent
  • Duration of the program (6 months)
    PoorFairGoodExcellent
  • Program facilities (accessible, clean, functional)
    PoorFairGoodExcellent
  • Professionalism and knowledge displayed by program staff
    PoorFairGoodExcellent
  • Access to additional resources (dietitian, certified tobacco educator, community resources – Diabetes Education, etc.)
    PoorFairGoodExcellent
  • Helpfulness of program volunteers
    PoorFairGoodExcellent
  • Content of weekly in-class education sessions
    PoorFairGoodExcellent
  • Content of educational handouts
    PoorFairGoodExcellent
  • Overall program satisfaction
    PoorFairGoodExcellent

Personal Achievements

On a scale of 1 - 4 please rate the following

  • Improvement in exercise endurance
    N/AUnsatisfiedSomewhat SatisfiedSatisfied
  • Improvement in ability to perform activities of daily living
    N/AUnsatisfiedSomewhat SatisfiedSatisfied
  • Improvement in self-confidence
    N/AUnsatisfiedSomewhat SatisfiedSatisfied
  • Improvement in knowledge of how to modify risk factors for cardiovascular disease
    N/AUnsatisfiedSomewhat SatisfiedSatisfied
  • Improvement in satisfaction of social activities
    N/AUnsatisfiedSomewhat SatisfiedSatisfied
  • Improvement in satisfaction of recreational activities
    N/AUnsatisfiedSomewhat SatisfiedSatisfied

Change in Cardiovascular Disease Risk Factors

On a scale of 1 - 4 please rate the following

  • Waist measurement
    N/AUnsatisfiedSomewhat SatisfiedSatisfied
  • Cholesterol
    N/AUnsatisfiedSomewhat SatisfiedSatisfied
  • Diabetes
    N/AUnsatisfiedSomewhat SatisfiedSatisfied
  • Blood pressure
    N/AUnsatisfiedSomewhat SatisfiedSatisfied
  • Eating habits and dietary intake
    N/AUnsatisfiedSomewhat SatisfiedSatisfied
  • Smoking
    N/AUnsatisfiedSomewhat SatisfiedSatisfied
  • Stress and coping behaviours
    N/AUnsatisfiedSomewhat SatisfiedSatisfied
  • Active Lifestyle
    N/AUnsatisfiedSomewhat SatisfiedSatisfied

Please make any additional comments and/or suggestions below: