SMP- Post Assessment Form - Antano & Harini

7 DAYS SMP CHALLENGE

POST ASSESSMENT FORM

Experience Excellence Installations With

Antano & Harini

Name

Phone/Mobile

How was your overall experience of the 7 Day Challenge

Some of the Most WOW Moments you experienced during the 7 Day Challenge

One of most significant Breakthrough achieved during the 7 Day Challenge

Describe 2-3 moments of surprise you encountered in the last few days! Those moments when you look back and realise suddenly, that you have done something now that you couldn’t do before.

Tell us one thing you liked the most about the 7 Day Challenge

One thing that you would like us to change / improve about the 7 Day Challenge

On a scale of 0 to 10, “0” being the lowest and “10” being the highest, where would you rate your binge eating habit now

On a scale of 0 to 10, “0” being the lowest and “10” being the highest, where would you rate your energy level, productivity, emotional states now

What does new acquired capabilities, behaviours and patterns mean to you – how would this change your life 5 years from now.

Now, that you have stopped binge eating, what is the next important thing you would like to achieve –

Lose weight

Get over a medical condition, if yes, pls specify the medical condition

Overcome emotional stress/ anxiety

Others, pls specify

Medical Condition

Please Specify

On a scale of 0 to 5, how likely are you to recommend this program to your friends and family for their overall well-being

Any other comments / suggestion

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