* Your name:

A brief questionnaire form
By: Michele K. Hanford, CPT.

* May I e-mail you? Your address:

* May I call you? Your number:

* May I anonymously publish your question and my response in the Whitman college newsletter, The Fountain?

How may I help you today? Suggested topics:
• guidance on reaching your goals
• education about strength training, cardio and basic nutrition
• aches, pains, limitations you may be feeling
• accountability help
• ways to help track your progress

• equipment – please include the # of the machine!
• staff
• hours
• facility/building/grounds
• locker rooms

* Your question:

* Your suggestion: