New Form
Membership
Member
Non-Member
Previous Member
Membership Type
Regular
Senior
Student
Family
Silver Sneakers
How was our front desk staff?
Why did you become a member?
Weight Loss
Muscle Tone
More Energy
Increase Strength
Cardiovascular Endurance
Health Risks
Maintain Current Fitness Level
How many days a week do you exercise?
0 -2
2 - 3
3 - 4
4 - 5
5 - 7
Are you satisfied with your results?
Very Much
Fairly Satisfied
Not Really
Not At All
Overall, rate your workouts.
Excellent
Productive
Need Help
Unproductive
Did you receive fitness instruction?
Yes
No
Please rate the fitness instruction.
Doesn't Apply
Excellent
Satisfactory
Poor
Very Poor
How could it have been better?
Would you want more instruction?
Yes
No