Name of Participant
Email Address
Date of Programme
Location of Programme
Name of Instructor
Programme
Ante Natal Programme
Post Natal Programme
Please describe your overall experience of theFitBack and Bumps Programme and how it has been of benefit to you.
Did you enjoy the Programme?
Yes
No
Were you satisfied with your FitBack and Bumps Instructor?
Would you recommend it to your friends?
If you attended the ante natal, are you interested in the post natal programme?
If you answered no to any of the questions above or would like to suggest waysto improve the Programme, please help us by giving us more detail below.