Spring Survey

Welcome to the Spring Survey with GoodLife Fitness

Not a Member

Current Member

Thank you for participating in our Spring Survey.
As our Thank You, your name will be entered in our Draw for One Free Membership with GoodLife Fitness.

Are you currently exercising?

Yes

No

Sort of... (how so)

How many days a week do you get your exercise in?

How important are the following health and fitness factors to you today?

	Low	Little	Neutral	Somewhat	High	N/A
Maintain a Healthy Heart

Decrease Pain

Lower Blood Pressure

Increase Strength

Improve Balance

Lose Weight

Tone or Build Muscle

Improve Flexibility

Increase Energy

Improve Stamina

What would you like to see improve before the summer?

Gender

Age:

Contact Information

* Name :

* :

Address 1 :

:

City :

:

Postal Code :

* Phone :

* Email :

:

Would you like to receive your one time Free 7 Day Gift Membership with GoodLife Fitness?