May 12, 2008
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Program Evaluation
Please take the time to fill out this evaluation of your program. This will help us to better service you as well as those who we service in the future. Please be completely honest. We will insure that the information you give will remain confidential. Thank you in advance for your help!
Your Name:
Your E-mail Address:
Your Address:
City:
State:
Zip:
Your Telephone #:
Your Health Club Name and Location:
Your Trainer's Name:
Your Number of Sessions Per Week:
Start Date:
How would you rate our service on a scale from 1 to 10?
1
2
3
4
5
6
7
8
9
10
10 being above your expectations and 1 being below your expectations.
Please Explain:
Do you thoroughly enjoy your training sessions?
Yes
No
Did you receive your meal plan within the first 4 weeks?
Yes
No
Has your trainer reviewed warm-up and stretching methods?
Yes
No
Did you receive a fitness profile, where we tested your Strength, Flexibility, V02 Max, Blood Pressure, Resting Heart Rate, Body Fat?
Yes
No
Do you feel your trainer is knowledgeable?
Yes
No
Does your trainer focus 100% of their attention on you?
Yes
No
Do you feel more educated about nutrition and fitness due to our program?
Yes
No
Are you experiencing a lifestyle change? Or change in habits?
Yes
No
Has your trainer showed up for all of your appointments on time?
Yes
No
Do you feel confident you will attain your fitness goals?
Yes
No
I am always treated as a valuable customer?
Yes
No
What do we do well?
What should we change?
What can we do to serve you better?
How has personal training benefitted you?
Would you recommend us to a friend or family member?
May we use your comments in future marketing of our program?
Thank you for taking the time to share your feelings with us.
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