Gym Feedback Form

We want to get some useful feedback? Because our gym needs it. That’s why we built this Gym Feedback Form.

Questions for Gym Feedback Form

1.

Name

The answer should be a text input.
2.

Cell phone number

The answer should be a phone number.
3.

How often do you visit The Gym?

The answer should be a single choice:
  1. Less than weekly
  2. Once a week
  3. Twice a week
  4. Three times a week
  5. More than three times per week
4.

Gym member for?

The answer should be a single choice:
  1. 1-3 months
  2. 4-6 months
  3. 7-12 months
  4. 1 year
  5. 2-4 years
  6. 5-10 years
  7. 10+ years
5.

On WEEKDAYS I typically visit the gym between

The answer should be a text input.
6.

I visit the gym to

The answer should be a multiple choice:
  1. enhance sport performance
  2. train for bodybuilding/power lifting
  3. lose weight
  4. medical reasons
  5. maintain my physical condition
  6. meet people and socialize
  7. Others
7.

How important were the following when joining or renewing at the Gym

The answer should be a single (or) multiple choice by row and column:
Equipment
Personal Trainers
Amenities (locker rooms, pro shop, etc.)
Referral From Friend
Atmosphere
Reputation
Very Important
Important
Neutral
Somewhat Important
Not Important
8.

Rank your levels of satisfaction related to the Gym's operations

The answer should be a single (or) multiple choice by row and column:
Gym Cleanliness
Locker Room Cleanliness
Staff Availability
Equipment Condition
Music
Lighting
Highly Satisfied
Moderately Satisified
Neither Satisfied or Dissatisfied
Dissatsified
Very Dissatisfied
9.

Optional Comments

The answer should be a text input.
10.

How comfortable do you feel that you are using the gym equipment properly?

The answer should be a single choice:
  1. Very Comfortable
  2. Somewhat Comfortable
  3. Just OK
  4. Not Very Comfortable
  5. Not Comfortable
11.

How far away from The Gym do you live?

The answer should be a single choice:
  1. Within 2 miles
  2. Within 2-10 miles
  3. Within 11-15 miles
  4. Within 16-20 miles
  5. More than 20 miles
12.

Have you referred a friend to The Gym?

The answer should be a single choice:
  1. Yes
  2. No
13.

Have you purchased one or more personal training sessions from the Gym?

The answer should be a single choice:
  1. Yes
  2. No
14.

For those that have purchased training sessions, how satisfied were you with the sessions?

The answer should be a single choice:
  1. Very Satisfied
  2. Moderately Satisfied
  3. Neither Satisfied or Dissatisfied
  4. Dissatisfied
  5. Very Dissatisfied
  6. Not applicable
15.

Gender 

The answer should be a single choice:
  1. Male
  2. Female
  3. Other
  4. Prefer not to say
16.

Age

The answer should be a number input.
17.

Feel free to share any additional thoughts about the Gym

The answer should be a text input.
18.

Please provide your email address to stay up to date on information from the Gym. This email address will remain anonymous from your survey responses

The answer should be a email input.

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