* 1. Are you a resident of the City of Coconut Creek?

* 2. Male or Female

* 3. Which category below includes your age?

* 4. Are you a current member of the Coconut Creek Fitness Centers?

* 5. At which location do you workout?

* 6. How many days do you workout per week in the Fitness Center?

* 7. How would you rate the following?

  Excellent Good Fair Needs Improvment N/A
Group Exercise Classes
Personal Training
Fitness Assessments
Fitness Orientations
Fitness Equipment
Staff Knowledge
Staff Friendliness
Staff Availability
Cleanliness
Overall Customer Service

* 8. How likely are you to renew your Coconut Creek Fitness Center membership?

* 9. If you did not renew your Fitness membership then why?

* 10. Please include any additional comments

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