Sample Questionaire - Gym

Gym Questionnaire

Do you currently belong to a gym?
__________ Yes
__________ No

If so which gym do you belong to: ______________________________________________________

Why did you choose to join this gym?

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How often do you go to the gym? Please check one.
______ Less than 1 time per week
______ 1 time per week
______ 2-3 times per week
______ 4-5 times per week
______ 6+ times per week Demographic Questions:
Gender:
_______Male _______Female

Age:
______ 16 and below
______ 17-25
______ 26-35
______ 36-49
______ 50-65
______ 66 and up

Household Income:
______ $24,999 and below
______ $25,000 - $44,999
______ $45,000 - $64,999
______ $65,000 - $84,999
______ $85,000 - $104,999
______ $105,000 and up

What is your general health like?
______ Above Average
______ Average
______ Below Average Why do you go to the gym?
______ Lifestyle
______ Rehabilitation
______ Strength Training
______ Weight Loss
______ Health Improvement
______ Social Environment

Martial Status:
______ Single
______ Single with child/children
______ Married
______ Married with child/children

What are you looking for in a gym

When

Do they go to gym

What gym do you go to now

Why did you chose that gym

How much are you willing to pay

What do you look for in a gym

Whats the best thing about you gym? What do you like the least of you gym?

Rate Cost Hours of Operation Gym Class Friends Benefits
Marketing to the people that are looking for