Health Matters Curriculum Evaluation Survey
Health Matters: The Exercise and Nutrition Health Education Curriculum for Adults with Developmental Disabilities

Thank you for sending us your feedback regarding the curriculum.
If you have any additional questions or comments and you have given us your email, we will email you an answer as soon as possible.

Date: $fm_date
Email Addresses: $email
Name: $name


1) Current job title $s_job_title$job_title$e_job_title

If other, what is it? $s_two_other$two_other$e_two_other

Since you bought the curriculum, have you done any of the following activities...

2) I shared information from the materials with my coworkers : $2
In general, how many coworkers received the information : $participant_number_2
How many copies of the Curriculum did you give to your coworkers : $curriculum_number_2

3) I conducted staff trainings using the materials. : $3
In general, how many training events did you have : $training_number_3
About how many people did you train : $trainee_number_3

4) Our agency/organization started the following activities/programs/services...
$s_nutrition_classes_2$nutrition_classes_2$e_nutrition_classes_2
Nutrition Classes : $classes_number_2
$s_diet_counseling_3$diet_counseling_3$e_diet_counseling_3
Diet Counseling : $classes_number_3
$s_fitness_assessments_4$fitness_assessments_4$e_fitness_assessments_4
Fitness Assessments : $classes_number_4
$s_exercise_classes_5$exercise_classes_5$e_exercise_classes_5
Exercise Classes : $classes_number_5
$s_health_education_classes_6$health_education_classes_6$e_health_education_classes_6
Health Education Classes : $classes_number_6
$s_health_risk_screening_7$health_risk_screening_7$e_health_risk_screening_7
Health Risk Screening : $screening_number_7

5) In using the materials, what changes have you made (or plan to make) in your program, agency, or clinical service...
$s_job_changes_1$job_changes_1$e_job_changes_1
$s_developed_new_programs_2$developed_new_programs_2$e_developed_new_programs_2
$s_training_materials_3$training_materials_3$e_training_materials_3
$s_clients_changes_4$clients_changes_4$e_clients_changes_4
If other, what is it? $other_5

6) Overall, how satisfied were you with the materials? : $6
Do you have any suggestions on how we can improve the curriculum to better meet your needs? $other_6