Health Club Bootcamp Survey

Thank you for signing up for Total Body Bootcamp! Please answer the following questions to complete your registration and improve your bootcamp experience.

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1. Your Contact Information:

First Name

Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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2. What is your birthday?

Please list the day, month and year

Date

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3. What is your gender?

Female

Male

Prefer not to say

Other (please specify)

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4. Are you pregnant?

Yes

Not Applicable

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5. Do you have any injuries or physical limitations?

Yes

If yes, please explain:

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6. How many hours are you active weekly?

Two hours or less

Two to ten hours

Ten hours or more

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7. How did you hear about Health Club Bootcamp?

Health Club website

Facebook

Flyer

Friend (Please leave their name)

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8. What are your goals from the Bootcamp? (Check all that apply)

Accountability

Gain knowledge on exercise techniques and form

Weight loss

Strength building

Other (please specify)

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9. Are you a member of The Health Club? if so, how long have you been using a gym for?

Yes, less than 3 months

Yes, over 3 months

Yes, over 5 years

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10. Are you interested in personal training?

Yes

Maybe

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11. Do you prefer strength or cardio?

Strength

Cardio

Health Club Bootcamp Survey

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* 1. Your Contact Information:

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* 2. What is your birthday?

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* 3. What is your gender?

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* 4. Are you pregnant?

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* 5. Do you have any injuries or physical limitations?

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* 6. How many hours are you active weekly?

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* 7. How did you hear about Health Club Bootcamp?

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* 8. What are your goals from the Bootcamp? (Check all that apply)

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* 9. Are you a member of The Health Club? if so, how long have you been using a gym for?

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* 10. Are you interested in personal training?

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* 11. Do you prefer strength or cardio?

1. Your Contact Information:

2. What is your birthday?

3. What is your gender?

4. Are you pregnant?

5. Do you have any injuries or physical limitations?

6. How many hours are you active weekly?

7. How did you hear about Health Club Bootcamp?

8. What are your goals from the Bootcamp? (Check all that apply)

9. Are you a member of The Health Club? if so, how long have you been using a gym for?

10. Are you interested in personal training?

11. Do you prefer strength or cardio?