Feedback Form

Congratulations on completing our 12 Week Break the Binge program!

We value your feedback

We hope you have found it helpful, informative and enjoyable. Please take a few minutes to fill out this feedback form and share your thoughts on the program. Your feedback will help us to continue to improve our program and ensure that we are providing you with the best possible experience and outcome fro all. Thank you for taking the time to provide your valuable insights!

Name

First Name

Last Name

What changes did you notice in yourself since participating in the program?

How many times a week were you binging/ and or purging before the program?

How many times a week are you binging/ and or purging at the end of the program?

What 3 things did you find most helpful in the program?

Are there any changes you would make to the program to improve it?

What did you find most challenging about the program?

Would you recommend this program to family or friends who suffer from binge eating or bulimia?

Yes

What did you like most about the 12 week Break the Binge program?

Did you achieve the results you were hoping for? Please explain.

What additional topics or materials would you like to see covered in the program?

Was the program user friendly and easy to understand? If no, please explain.

If you got value from the program, please leave a short review of your experience and results which can help others understand how this program could help them overcome binge eating and bulimia.

If you have completed a review, please advise below what name e.g. first, first and last or no name, can be used on my website or socials for sharing purposes.