Don't Worry, Get Healthy Optimal Health Survey

Don't Worry, Get Healthy Optimal Health Survey - Summer 2008

1. Please rate the following health and wellness issues using the ranking system below.

	I'm failing miserably.	I'm struggling.	I'm managing, but there's room for improvement.	I'm doing well.	I'm doing great! I've mastered this aspect of my life.	N/A
Goals and vision - knowing what you want and getting there	Please rate the following health and wellness issues using the ranking system below. Goals and vision - knowing what you want and getting there I'm failing miserably.	I'm struggling.	I'm managing, but there's room for improvement.	I'm doing well.	I'm doing great! I've mastered this aspect of my life.	N/A
Time - creating time in your life for health and wellness	Time - creating time in your life for health and wellness I'm failing miserably.	I'm struggling.	I'm managing, but there's room for improvement.	I'm doing well.	I'm doing great! I've mastered this aspect of my life.	N/A
Energy - having enough energy to do everything you need and want to do	Energy - having enough energy to do everything you need and want to do I'm failing miserably.	I'm struggling.	I'm managing, but there's room for improvement.	I'm doing well.	I'm doing great! I've mastered this aspect of my life.	N/A
Eating healthy - knowing what, when and how to cook for optimal health	Eating healthy - knowing what, when and how to cook for optimal health I'm failing miserably.	I'm struggling.	I'm managing, but there's room for improvement.	I'm doing well.	I'm doing great! I've mastered this aspect of my life.	N/A
Meal planning - preparing consistently healthy food and keeping nutritious food on hand	Meal planning - preparing consistently healthy food and keeping nutritious food on hand I'm failing miserably.	I'm struggling.	I'm managing, but there's room for improvement.	I'm doing well.	I'm doing great! I've mastered this aspect of my life.	N/A
Physical fitness - getting regular exercise that improves your body's condition	Physical fitness - getting regular exercise that improves your body's condition I'm failing miserably.	I'm struggling.	I'm managing, but there's room for improvement.	I'm doing well.	I'm doing great! I've mastered this aspect of my life.	N/A
Weight loss - losing weight to achieve your body's ideal weight	Weight loss - losing weight to achieve your body's ideal weight I'm failing miserably.	I'm struggling.	I'm managing, but there's room for improvement.	I'm doing well.	I'm doing great! I've mastered this aspect of my life.	N/A
Weight maintenance - keeping your weight healthy and consistent	Weight maintenance - keeping your weight healthy and consistent I'm failing miserably.	I'm struggling.	I'm managing, but there's room for improvement.	I'm doing well.	I'm doing great! I've mastered this aspect of my life.	N/A
Family buy-in - getting support and participation from family and friends	Family buy-in - getting support and participation from family and friends I'm failing miserably.	I'm struggling.	I'm managing, but there's room for improvement.	I'm doing well.	I'm doing great! I've mastered this aspect of my life.	N/A
Addictions - eliminating overeating, smoking, alcohol, etc.	Addictions - eliminating overeating, smoking, alcohol, etc. I'm failing miserably.	I'm struggling.	I'm managing, but there's room for improvement.	I'm doing well.	I'm doing great! I've mastered this aspect of my life.	N/A
Current health issues - healing from an accident, illness or disease, and regaining excellent health	Current health issues - healing from an accident, illness or disease, and regaining excellent health I'm failing miserably.	I'm struggling.	I'm managing, but there's room for improvement.	I'm doing well.	I'm doing great! I've mastered this aspect of my life.	N/A
Joy - having fun, pursuing hobbies, etc.	Joy - having fun, pursuing hobbies, etc. I'm failing miserably.	I'm struggling.	I'm managing, but there's room for improvement.	I'm doing well.	I'm doing great! I've mastered this aspect of my life.	N/A

2. We are creating 4-week “Quick Start” group programs on the following topics, designed to get you into action quickly and effectively! Which ones would you be most likely to participate in? Please check all that apply.

We are creating 4-week “Quick Start” group programs on the following topics, designed to get you into action quickly and effectively! Which ones would you be most likely to participate in? Please check all that apply. a. Creating inspiring goals and vision

b. Creating time for health and wellness

c. Increasing energy (to do everything you need and want to do)

d. Eating healthy – knowing what, when, and how to eat

e. Planning simple, healthy and delicious meals

f. Improving physical fitness

g. Weight loss

h. Weight maintenance – keeping your weight healthy and consistent

i. Creating family buy-in and support

j. Overcoming addictions – eliminating overeating, smoking, etc.

k. Dealing with current health issues – healing from an accident, illness, or disease, and regaining excellent health

l. Creating more joy and satisfaction

Other (what else would you like to see that's not listed here?)

3. Based on question 2, please list up to three topics, in order of priority, that you're most interested in.

Based on question 2, please list up to three topics, in order of priority, that you're most interested in. 1
2
3

4. A "QuickStart" 4-week GROUP teleclass is a program that meets once per week by telephone for four weeks on a specific topic. Each call is an hour in length. The class includes delivery of relevant content, group coaching and support, creation of an action plan and one-month free in our online community.

How much would you be willing to pay for such a program?

A "QuickStart" 4-week GROUP teleclass is a program that meets once per week by telephone for four weeks on a specific topic. Each call is an hour in length. The class includes delivery of relevant content, group coaching and support, creation of an action plan and one-month free in our online community. How much would you be willing to pay for such a program?

5. A "QuickStart" 4-week INDIVIDUAL COACHING program is all about you. Focused on specific topics, these four 1-hour sessions include meeting 1:1 with Wendy via telephone to identify your unique needs, coaching and support to propel you forward, creating a customized plan of action and putting systems in place to support your ongoing success.

How much would you be willing to pay for this month-long program?

A "QuickStart" 4-week INDIVIDUAL COACHING program is all about you. Focused on specific topics, these four 1-hour sessions include meeting 1:1 with Wendy via telephone to identify your unique needs, coaching and support to propel you forward, creating a customized plan of action and putting systems in place to support your ongoing success. How much would you be willing to pay for this month-long program?

6. Do you prefer to work with a group or 1:1?

Do you prefer to work with a group or 1:1?

7. If "live" QuickStart 4-week group workshops were offered in the New Haven, CT area, would you participate?

If "live" QuickStart 4-week group workshops were offered in the New Haven, CT area, would you participate? Yes

8. If yes, what would you pay for a live, 4-week workshop?

If yes, what would you pay for a live, 4-week workshop?

9. How likely would you be to participate in our online community, offering message boards, recipes, free teleclasses, free coaching calls and special member pricing on other programs?

How likely would you be to participate in our online community, offering message boards, recipes, free teleclasses, free coaching calls and special member pricing on other programs? Very likely

Somewhat likely

Not likely

10. What would you be willing to pay for the online community, per month?

What would you be willing to pay for the online community, per month? $9

$19

$29

$39

$49

Other (please specify)

11. Please indicate the best days and times for you to attend teleclasses and virtual programs.

	Before 9 am, EST	Between 9 am and noon, EST	Between 12 noon and 5 pm, EST	Between 5 pm and 8 pm, EST	After 8 pm, EST
Sunday	Please indicate the best days and times for you to attend teleclasses and virtual programs. Sunday Before 9 am, EST	Between 9 am and noon, EST	Between 12 noon and 5 pm, EST	Between 5 pm and 8 pm, EST	After 8 pm, EST
Monday	Monday Before 9 am, EST	Between 9 am and noon, EST	Between 12 noon and 5 pm, EST	Between 5 pm and 8 pm, EST	After 8 pm, EST
Tuesday	Tuesday Before 9 am, EST	Between 9 am and noon, EST	Between 12 noon and 5 pm, EST	Between 5 pm and 8 pm, EST	After 8 pm, EST
Wednesday	Wednesday Before 9 am, EST	Between 9 am and noon, EST	Between 12 noon and 5 pm, EST	Between 5 pm and 8 pm, EST	After 8 pm, EST
Thursday	Thursday Before 9 am, EST	Between 9 am and noon, EST	Between 12 noon and 5 pm, EST	Between 5 pm and 8 pm, EST	After 8 pm, EST
Friday	Friday Before 9 am, EST	Between 9 am and noon, EST	Between 12 noon and 5 pm, EST	Between 5 pm and 8 pm, EST	After 8 pm, EST
Saturday	Saturday Before 9 am, EST	Between 9 am and noon, EST	Between 12 noon and 5 pm, EST	Between 5 pm and 8 pm, EST	After 8 pm, EST

12. When it comes to creating optimal health, where do you seem to get stuck? Check all that apply.

When it comes to creating optimal health, where do you seem to get stuck? Check all that apply. Getting Started - I can't seem to take the first step toward better health.

Motivation – I can’t seem to get or stay inspired. My enthusiasm ebbs and flows.

Implementation – I know what to do, I just can’t seem to do it.

Consistency - I stop and start creating a healthier lifestyle a lot.

Customization – What works for others does not work for me. I need a solution designed especially for me and my lifestyle.

Education - The news is full of contradictions. I struggle with having accurate information.

Tools – I don’t have the right tools to succeed (gym membership, running shoes, cookbooks)

Support – I don’t have the support of family, friends, and co-workers I need to succeed.

Lack of time to make my health a priority.

Lack of money – I can’t afford healthy food, gym memberships, and other things I need to get healthy.

Lack of energy – It doesn’t matter if I have the time or not – even when I do, I don’t have the energy.

I'm an overachiever – I bite off more than I can chew, or try to do too much too fast, and I burn out before I reach my goals.

I'm a perfectionist – If I can’t do it well, I don’t do it at all. If I mess up, I’m really hard on myself.

Fear of Failure – I hate it when I don’t finish what I start. So I have stopped trying.

Fear of Change – While I don’t like the way I feel now, I’m afraid to give up my favorite foods or start a new work out routine.

Timing – it never seems to be the right time to start a health and wellness program.

13. Optional: What health issues are you currently experiencing or are concerned about?

Optional: What health issues are you currently experiencing or are concerned about? Overweight

Heart disease

High blood pressure

High cholesterol

Diabetes

Cancer of any kind

Fatigue/Lack of energy

Insomnia

Substance abuse (tobacco, alcohol, drugs)

Anxiety and/or depression

Menopause

Infertility

Autoimmune disorders (Lupus, MS)

Other (please specify)

14. What else would you like to tell us?

What else would you like to tell us?

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