San Franscisco Medical Research Foundation
Presents
The Human Ecology Program
A Comprehensive Health Maintenance and Rejuvenation Program

PERSONAL PROGRAM

EVALUATION

After you have completed three weeks of The Human Ecology Program, describe how it has specifi­cally benefited you.

• What was your primary purpose and goal in enroll­ing in The Human Ecology Program?

• Briefly describe your overall experience upon completing it.

• Have you achieved your personal goals?

• Are you feeling more relaxed?
  
  
• More peaceful?
  
  
• More positive?
  
  
• More alert?

Do you feel more spiritually attuned

• More accepting
• More trusting
• More forgiving
• More loving of yourself
• More loving of others

Comments

Have you noticed improvements in:

• Your weight
• With your family
• With friends
• With business associates
• Body tone
• Exercising routine
• Dietary habits

Comments

Have your relationships improved with yourself?

With the world in general?

Comments

Have you developed new interests in:

• Music
• Friends
• Books
• Hobbies
• Ideas
• Other areas

Comments

Do you find yourself more creative and imaginative

• More enthusiastic about life
• Mentally and emotionally stronger
• More confident in yourself

Comments

Please send us a copy of your completed Personal Program Evaluation. It will help us evaluate possible changes and improvements in The Human Ecology Program.

Da Vid

The San Francisco Medical Research Foundation
20 Sunnyside Avenue; Suite A-156

Mill Valley, CA 94941