Goal Assessment
One month ago you completed a Post-program Survey for the WIN Steps
walking program. On that survey you shared the walking goal below:
You set the goal listed above. What progress have you made toward
reaching this goal?
1.
2.
3.
Have you made any other lifestyle changes as a result of participating in
WIN Steps?
___ Yes
___ No
If yes, what were those changes?
Do you have any other comments to share?
Thank you for participating in WIN Steps.
Please return this to the program coordinator.