Follow-Up Form

This survey will take approximately 7 minutes to complete and will help us assist you and our other guests with the transition from our program. Please answer the following questions as thoroughly as possible.

Who was the Eden Valley physician during your session? *

Session you attended *

SELECT ONE *

What health conditions did you want to address while at Eden Valley Lifestyle Center? *

Has your condition/health concern improved? *

Yes No

Have you been hospitalized since leaving EVI? *

Is the Eden Valley program still helpful to you *

Yes No Not Sure

How are you feeling, on a scale from 1-10 (1 being poor and 10 being mostly well)? *

Follow-Up Survey