athletic survey - The Pacific Club

Your name (optional):

Your age (optional):

HEALTH INTEREST / GOALS

7. Is the Athletics offering sufficient for you to realize your health goal(s)?

Yes

Yes, but it could be Improved: (please explain)

8. Regarding your health goal(s), which is your top priority?

	a.Weight Loss
	b.Increased Strength
	c.Improved Cardiovascular Strength
	d.Improved Balance
	e.All of the above

Other (please list)

SATISFACTION

5 = extremely satisfied
1 = extremely dissatisfied

11. On a scale of 1 to 5, please indicate your satisfaction with athletic facilities at the Club:

12. On a scale of 1 to 5, please indicate your satisfaction with athletic classes at the Club:

If improvement is needed, please tell us how we may improve:

13. On a scale of 1 to 5, please indicate your satisfaction with service of the Kiosk and Athletic staff at the Club:

If improvement is needed, please tell us how we may improve:

14. If you have any other general comments about Athletics at the Pacific Club, please provide them here:

	a.Not at all - do not use the Athletic offerings
	b.Monthly - no more than once per month
	c.Weekly - no more than once per week
	d.About 3 or 4 times per week
	e.Daily or almost that often

	a.Not at all - do not use the Athletic offerings
	b.Monthly - no more than once per month
	c.Weekly - no more than once per week
	d.About 3 or 4 times per week
	e.Daily or almost that often
	f.N/A - currently have no spouse/significant other

	a.Not at all - do not use the Athletic offerings
	b.Monthly - no more than once per month
	c.Weekly - no more than once per week
	d.About 3 or 4 times per week
	e.Daily or almost that often
	f.N/A - currently have no young children

	a. I do not exercise
	b.I exercise at home
	c.I use another establishment for exercise or court play
	d. I have similar but better equipment available to me elsewhere
	e.The Pacific Club does not offer what I prefer for my exercise interests

	a.Basketball
	b.Dance
	c.Gym
	d.Locker Room
	e.Massage
	f.Personal Trainer
	g.Paddle Tennis
	h.Paddle Tennis – Club Pro Instruction & Classes
	i.Pickleball
	j.Pickleball – Club Pro Instruction & Classes
	k.Pool
	l.Pool – Water Aerobics Classes
	m.Yoga
	n.Other Classes

	a.More often than usual
	b.Less often than usual
	c.Has there been no change in your usage

Athletics Survey