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Your Feedback Makes a Difference!

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Thank you for your participation in the Fidelis Care Obesity Lifestyle Management program. We’d like to see how you are doing and if you enjoyed the program. This should only take a minute.

Questions marked with an asterisk (*) are required.

How would you rate your health on a scale from 1 to 5?*
(1 = My health is bad; 5 = My health is great)
Over the course of this program, were you able to lose weight?*
in lbs.
Over the course of this program, did any of the following health conditions improve with your overall/general health?*
Please select all that apply.
Since enrolling in this program, have you had more, fewer, or about the same number of emergency department (ED) visits?*
Since enrolling in this program, have you had more, fewer, or about the same number of hospital admissions?*
Since enrolling in this program, have you had bariatric surgery?*
Since enrolling in this program, have you had to spend more, less, or about the same on prescription medications related to obesity?*
Since enrolling in this program, how has your quality of life improved on a scale of 1 to 5?*
(1 = No improvement; 5 = Great improvement)

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