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Questions marked with a * are required Exit Survey
 
 
* Gender
 
Male
 
Female

 
 
 
* Age:
 
16 and below
 
17-25
 
26-35
 
36-49
 
50-65
 
66 and up

 
 
 
* Are you:
 
Single
 
Single with child/children
 
Married
 
Married with child/children

 
 
 
* What is your general health like?
 
above average
 
average
 
below average

 
 
 
* how often would you go to the gym?
 
less than once a week
 
once a week
 
twice a week
 
3-4 times a week
 
5+ a week

 
 
 
* which of the following would you use or like available (Select all that apply)?
 
Gym Membership
 
Personal training nutrition
 
Tanning
 
Child care area
 
Drink/snack bar

 
 




 
Always Usually Never Sometimes
Free Weights
Machines
Cardio Equipment
Group classes (yoga, zumba, pilates, aerobics)