Walktober Evaluation Form Walktober Evaluation Participants will complete after the Walktober Challenge Name: Birthdate: Month Day Year Gender: How Many Routes Did You Complete?Do you feel like your physical health improved as a result of this program? Yes No If yes: A Lot Quite a bit Some Very Little Do you feel like your mental health improved as a result of this program? Yes No If yes: A Lot Quite a bit Some Very Little How effective was WALKTOBER in teaching you about the benefits of regular physical activity? Excellent Good Average Fair Poor How effective was WALKTOBER in motivating you to make positive behavior changes? Excellent Good Average Fair Poor Was WALKTOBER effective in exposing you to new areas to walk in your community? Excellent Good Average Fair Poor How confident do you feel that you will be able to maintain the positive behavior changes that you have incorporated into your life during WALKTOBER? Excellent Good Average Fair Poor How likely would participate again? Very Likely Likely Not Sure Not Likely Not Very Likely Success story or other comments: (do you give us permission to share your testimony?) Δ
