Fitness & Wellness Member Survey

Our objective is to provide the membership with the best means of reaching their fitness and wellness goals within our current facility offerings. Filling out this questionnaire will help us determine what is most important to you.

First Name: *

Last Name: *

Member Number: *

Email Address: *

Date of birth (Optional, otherwise requires Month, Day and Year.):

How often do you exercise each week?:

Less than 1 time per week

1 time per week

2-3 times per week

4-5 times per week

6+ times per week

Indicate frequency of use or participation in the following

Cardio Equipment:

Always

Usually

Sometimes

Rarely

Never

Group Classes (Yoga, Pilates, Spinning, Aerobics, etc.):

Always

Usually

Sometimes

Rarely

Never

Swimming:

Always

Usually

Sometimes

Rarely

Never

Frequency of Other:

Always

Usually

Sometimes

Rarely

Never

What time of day are you most likely to use the fitness offerings:

Early morning

Late morning

Afternoon

Evening

Would you participate in a Racquets Core-Conditioning & Strength training program:

Yes: Men’s

Yes: Women’s

Yes: Junior’s

No

Would you participate in a Golf Conditioning and Flexibility Program:

Yes: Men’s

Yes: Women’s

Yes: Junior’s

No

Which Group Fitness classes below would you most enjoy:

Yoga

Pilates

Cardio Kick-box

Abs Class

Water Aerobics

Are there any classes not mentioned above that would interest you:

Yes

No

If so which:

Which Days and times would best suit your weekly schedule so that you can participate in our group fitness classes:

Monday: a.m.

Monday: p.m.

Tuesday: a.m.

Tuesday: p.m.

Wednesday: a.m.

Wednesday: p.m.

Thursday: a.m.

Thursday: p.m.

Friday: a.m.

Friday: p.m.

Saturday: a.m.

Saturday: p.m.

Sunday: a.m.

Sunday: p.m.

Please share any additional comments that you may have: