Please help us to serve you better by completing this survey. It should take around 5 minutes to complete. Your Name (optional) Your Email (optional) 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:
