Ambulance Victoria’s Post-Program Questionnaire

Bodycare | Healthworks
Thank you for completing this questionnaire. Your feedback is important and will remain anonymous unless you wish to discuss any feedback further.
Field is required!
Field is required!
My understanding of exercise has improved due to participating in the program
Field is required!
Field is required!
I have taken steps to increase/ optimise my exercise program due to participating in the program
Field is required!
Field is required!
I have noticed an improvement in my overall health and wellbeing due to participating in the program
Field is required!
Field is required!
1:1 consults with an Exercise Physiologist provided me with strategies and support to improve my motivation and overcome barriers to exercise
Field is required!
Field is required!
Since participating in the program my pain levels are:
Field is required!
Field is required!
Since commencing the program, I have found that my strength and ability to undertake work, sport, exercise and/or daily living activities is:
Field is required!
Field is required!
Since commencing the program my flexibility and mobility are:
Field is required!
Field is required!
Since commencing the program my core stability and posture are:
Field is required!
Field is required!
Since commencing the program my cardiovascular fitness levels are:
Field is required!
Field is required!
Did you achieve any of the goals you set at the beginning of the program?
Field is required!
Field is required!
The program was designed to provide an exercise program tailored to the specific needs of the individual. Can you please give some examples of your goals and how the program helped?
Field is required!
Field is required!
Do you need further assistance with these goals? Or do you have other areas that you need assistance with?
Field is required!
Field is required!
Would you be interested in attending another similar program in the future that is targeted at specific conditions such as back, neck, shoulder or knee pain? If yes, what areas would you like to target?
Field is required!
Field is required!
What was your favourite part of the program?
Field is required!
Field is required!
What (if anything) could be improved?
Field is required!
Field is required!
If you have additional feedback or comments about participating in the conditioning program please let us know below:
Field is required!
Field is required!
Would you recommend the Functional Conditioning Program to a colleague or someone in a similar line of work?
Field is required!
Field is required!
If you are happy to leave a testimonial for the program please leave it below along with your name:
Field is required!
Field is required!
Field is required!
Field is required!