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Merritt Athletic Clubs Buckingham
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1
. Name
Name
*
2
. eMail Address
eMail Address
3
. On a scale of 1-5, 5 being extremely fit, what is your current fitness level?
On a scale of 1-5, 5 being extremely fit, what is your current fitness level?
1
2
3
4
5
4
. On a scale of 1-5, 5 being extremely fit, where would you like your fitness level to be in the next 6 months?
On a scale of 1-5, 5 being extremely fit, where would you like your fitness level to be in the next 6 months?
1
2
3
4
5
5
. What are your plans for gym/health club membership?
What are your plans for gym/health club membership?
I belong to a gym or health club
I am considering joining a gym or health club within the next 6 months to a year
I do not plan on joining a gym or health club
6
. Which members of your household will use a club membership? (check all that apply)
Which members of your household will use a club membership? (check all that apply)
Me
My spouse/partner
My children
My entire family
7
. On average, how often do you exercise?
On average, how often do you exercise?
More than 4 times a week
About 3 times a week
About twice a week
About once a week
Once every two weeks
Less than once a month
8
. On average, do you work out closer to
On average, do you work out closer to
Work
Home
9
. Have you ever belonged to a health club or gym?
Have you ever belonged to a health club or gym?
Yes
No
10
. If yes, why did you decide to join a gym or health club?
If yes, why did you decide to join a gym or health club?
11
. Why did you decide to leave that gym or health club?
Why did you decide to leave that gym or health club?
12
. On a scale of 1-5, 5 being extremely important, please rate how important the following statements are in your decision to join Merritt Athletic Clubs.
Not at all Important
Extremely Important
Weight Loss
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On a scale of 1-5, 5 being extremely important, please rate how important the following statements are in your decision to join Merritt Athletic Clubs. Weight Loss Not at all Important
Weight Loss
Weight Loss
Weight Loss
Weight Loss Extremely Important
Health Improvement
Health Improvement Not at all Important
Health Improvement
Health Improvement
Health Improvement
Health Improvement Extremely Important
Results
Results Not at all Important
Results
Results
Results
Results Extremely Important
Lifestyle Change
Lifestyle Change Not at all Important
Lifestyle Change
Lifestyle Change
Lifestyle Change
Lifestyle Change Extremely Important
Convenience
Convenience Not at all Important
Convenience
Convenience
Convenience
Convenience Extremely Important
Affordability
Affordability Not at all Important
Affordability
Affordability
Affordability
Affordability Extremely Important
Brand
Brand Not at all Important
Brand
Brand
Brand
Brand Extremely Important
Letting go of Stress
Letting go of Stress Not at all Important
Letting go of Stress
Letting go of Stress
Letting go of Stress
Letting go of Stress Extremely Important
Social Events
Social Events Not at all Important
Social Events
Social Events
Social Events
Social Events Extremely Important
Other
Other Not at all Important
Other
Other
Other
Other Extremely Important
13
. On a scale of 1-5, 5 being extremely important, please rate the following characteristics.
Not at all Important
Extremely Important
Fitness trainer expertise
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On a scale of 1-5, 5 being extremely important, please rate the following characteristics. Fitness trainer expertise Not at all Important
Fitness trainer expertise
Fitness trainer expertise
Fitness trainer expertise
Fitness trainer expertise Extremely Important
Club hours
Club hours Not at all Important
Club hours
Club hours
Club hours
Club hours Extremely Important
Equipment
Equipment Not at all Important
Equipment
Equipment
Equipment
Equipment Extremely Important
Group Fitness Instructor expertise
Group Fitness Instructor expertise Not at all Important
Group Fitness Instructor expertise
Group Fitness Instructor expertise
Group Fitness Instructor expertise
Group Fitness Instructor expertise Extremely Important
Locker rooms and amenities
Locker rooms and amenities Not at all Important
Locker rooms and amenities
Locker rooms and amenities
Locker rooms and amenities
Locker rooms and amenities Extremely Important
Accounting/billing
Accounting/billing Not at all Important
Accounting/billing
Accounting/billing
Accounting/billing
Accounting/billing Extremely Important
Front desk staff
Front desk staff Not at all Important
Front desk staff
Front desk staff
Front desk staff
Front desk staff Extremely Important
Membership process
Membership process Not at all Important
Membership process
Membership process
Membership process
Membership process Extremely Important
Interaction with staff
Interaction with staff Not at all Important
Interaction with staff
Interaction with staff
Interaction with staff
Interaction with staff Extremely Important
Attention to member needs
Attention to member needs Not at all Important
Attention to member needs
Attention to member needs
Attention to member needs
Attention to member needs Extremely Important
Value for price
Value for price Not at all Important
Value for price
Value for price
Value for price
Value for price Extremely Important
Cleanliness
Cleanliness Not at all Important
Cleanliness
Cleanliness
Cleanliness
Cleanliness Extremely Important
Other
Other Not at all Important
Other
Other
Other
Other Extremely Important
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