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Request Your Certificate
If you have completed all the assignments for this training module, complete the form below. We will then review your quizzes and surveys. If satisfactory, we will email your certificate to you.
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Name:
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Last
Email:
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I have completed each of the following:
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Quiz 1: The Impact of Lifestyle
Lab 1: My OptiHealth Lifestyle Pledge
Quiz 2: The Pledge and Its Rationale
Personal Statement: My OptiHealth Journey
Lab 2: OptiHealth Community Surveys
I estimate the time I spent to complete my training totaled:
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hh:mm
My overall impression of the training materials is::
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1 - Poor
2 - Fair
3 - Good
4 - Excellent
My overall impression of the training process is:
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1 - Poor
2 - Fair
3 - Good
4 - Excellent
I will be using my new skills as a:
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Volunteer
Professional
Mark all that apply.
My goal OptiHealth Certification level is:
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Select One
OptiHealth Community Researcher
OptiHealth Fitness Instructor
Sports Med-Tech Assistant
Sports Medicine Technician
OptiHealth Lifestyle Advocate
Lifestyle Med-Tech Assistant
Lifestyle Medicine Technician
OptiHealth Lifestyle Coach
OptiHealth TLC Facilitator
OptiHealth Weight-Loss Coach
OptiHealth Network Coordinator
Undecided at this time
Additional Comments:
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