Thank you for taking the time to answer the following questions to inform the Exercise is Medicine team about your experience in the program. Your feedback helps us to know what we are doing well and areas where we can improve. Your answers may also be used to update your referring physician about your progress in the program.

EIM Satisfaction Survey


Date of Birth




Please rate the following statements to best reflect your experience in the Exercise is Medicine Program.


Thank you pop-up - CHFC 2025