Club FITspiration 2017 Survey

Question Title

* Contact Information

Name

City/Town

State/Province

Email Address

Question Title

* Phone

Question Title

* I am interested in (please check all that apply):

Personal Fitness Training (in-person)

Online Fitness Training

Combination: Personal Fitness & Online Training

Nutritional Coaching & Meal Planning

Not Sure / Undecided

Comments:

Question Title

* What is your PRIMARY goal you wish to achieve through fitness and nutrition coaching?

	Not Important		Somewhat Important		Extremely Important
Lose weight/body fat	Lose weight/body fat Not Important	Lose weight/body fat	Lose weight/body fat Somewhat Important	Lose weight/body fat	Lose weight/body fat Extremely Important
Increase strength	Increase strength Not Important	Increase strength	Increase strength Somewhat Important	Increase strength	Increase strength Extremely Important
Improve speed/endurance	Improve speed/endurance Not Important	Improve speed/endurance	Improve speed/endurance Somewhat Important	Improve speed/endurance	Improve speed/endurance Extremely Important
Tone and shape my body	Tone and shape my body Not Important	Tone and shape my body	Tone and shape my body Somewhat Important	Tone and shape my body	Tone and shape my body Extremely Important
Improve health condition	Improve health condition Not Important	Improve health condition	Improve health condition Somewhat Important	Improve health condition	Improve health condition Extremely Important
Improve flexibility	Improve flexibility Not Important	Improve flexibility	Improve flexibility Somewhat Important	Improve flexibility	Improve flexibility Extremely Important
Increase energy level	Increase energy level Not Important	Increase energy level	Increase energy level Somewhat Important	Increase energy level	Increase energy level Extremely Important
Cope with stress	Cope with stress Not Important	Cope with stress	Cope with stress Somewhat Important	Cope with stress	Cope with stress Extremely Important
Improve performance for a specific sport	Improve performance for a specific sport Not Important	Improve performance for a specific sport	Improve performance for a specific sport Somewhat Important	Improve performance for a specific sport	Improve performance for a specific sport Extremely Important
Prepare for special event (wedding/reunion/competition)	Prepare for special event (wedding/reunion/competition) Not Important	Prepare for special event (wedding/reunion/competition)	Prepare for special event (wedding/reunion/competition) Somewhat Important	Prepare for special event (wedding/reunion/competition)	Prepare for special event (wedding/reunion/competition) Extremely Important
Enjoyment	Enjoyment Not Important	Enjoyment	Enjoyment Somewhat Important	Enjoyment	Enjoyment Extremely Important

Not Important

Somewhat Important

Extremely Important

Lose weight/body fat

Lose weight/body fat Not Important

Lose weight/body fat

Lose weight/body fat Somewhat Important

Lose weight/body fat

Lose weight/body fat Extremely Important

Increase strength

Increase strength Not Important

Increase strength

Increase strength Somewhat Important

Increase strength

Increase strength Extremely Important

Improve speed/endurance

Improve speed/endurance Not Important

Improve speed/endurance

Improve speed/endurance Somewhat Important

Improve speed/endurance

Improve speed/endurance Extremely Important

Tone and shape my body

Tone and shape my body Not Important

Tone and shape my body

Tone and shape my body Somewhat Important

Tone and shape my body

Tone and shape my body Extremely Important

Improve health condition

Improve health condition Not Important

Improve health condition

Improve health condition Somewhat Important

Improve health condition

Improve health condition Extremely Important

Improve flexibility

Improve flexibility Not Important

Improve flexibility

Improve flexibility Somewhat Important

Improve flexibility

Improve flexibility Extremely Important

Increase energy level

Increase energy level Not Important

Increase energy level

Increase energy level Somewhat Important

Increase energy level

Increase energy level Extremely Important

Cope with stress

Cope with stress Not Important

Cope with stress

Cope with stress Somewhat Important

Cope with stress

Cope with stress Extremely Important

Improve performance for a specific sport

Improve performance for a specific sport Not Important

Improve performance for a specific sport

Improve performance for a specific sport Somewhat Important

Improve performance for a specific sport

Improve performance for a specific sport Extremely Important

Prepare for special event (wedding/reunion/competition)

Prepare for special event (wedding/reunion/competition) Not Important

Prepare for special event (wedding/reunion/competition)

Prepare for special event (wedding/reunion/competition) Somewhat Important

Prepare for special event (wedding/reunion/competition)

Prepare for special event (wedding/reunion/competition) Extremely Important

Enjoyment

Enjoyment Not Important

Enjoyment

Enjoyment Somewhat Important

Enjoyment

Enjoyment Extremely Important

Club FITspiration 2017

1. About You

Question Title

* Contact Information

Question Title

* Phone

Question Title

* I am interested in (please check all that apply):

Question Title

* What is your PRIMARY goal you wish to achieve through fitness and nutrition coaching?

Question Title

* Please use the following scale to rate the importance of each health goal: