Merritt Athletic Clubs Buckingham Question Title * 1. Name Question Title * 2. eMail Address Question Title * 3. On a scale of 1-5, 5 being extremely fit, what is your current fitness level? 1 2 3 4 5 Question Title * 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? 1 2 3 4 5 Question Title * 5. 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 Question Title * 6. Which members of your household will use a club membership? (check all that apply) Me My spouse/partner My children My entire family Question Title * 7. 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 Question Title * 8. On average, do you work out closer to Work Home Question Title * 9. Have you ever belonged to a health club or gym? Yes No Question Title * 10. If yes, why did you decide to join a gym or health club? Question Title * 11. Why did you decide to leave that gym or health club? Question Title * 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 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 Question Title * 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 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 Done
