Request Your Certificate 1 - OptiHealth Institute

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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: *

I have completed each of the following: *

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: *

hh:mm

My overall impression of the training materials is:: *

1 - Poor 2 - Fair 3 - Good 4 - Excellent

My overall impression of the training process is: *

1 - Poor 2 - Fair 3 - Good 4 - Excellent

I will be using my new skills as a: *

Volunteer Professional

Mark all that apply.

My goal OptiHealth Certification level is: *

Additional Comments: *

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OptiHealth Institute
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