Fitness Assessment Survey

1) How were you introduced to Wellness Works NW Fitness Assessments?

My CompanyFamily member or friendPhysicianHealth clubPersonal TrainerOther

If you marked other please explain:

2) Did your Fitness Assessment include (check all that apply):

Health HistoryFitness ProfileWellness Profile

3) Please describe your Fitness Assessment experience:

Very favorableFavorableSomewhat favorableNot favorable

If you marked other please explain:

4) Did your Fitness Assessment report help you understand your current Fitness Level?

Most definitelyTo some extentNot really sure

5) How did your Fitness Assessment experience encourage you?

I started an exercise programI kept with my fitness programI got a Certified Personal TrainerI work with a Wellness FacilitatorI changed my eating habits

What other changes/benefits have you seen following your Fitness Assessment?

6) Was your assessment administrator qualified, informed, comfortable and helpful in reviewing your report?

Very much soSeemed to beNot sureNot likely

7) Would you recommend the Wellness Works NW's Fitness Assessment to a friend or associate?

DefinitelyProbablyNot SureNot Likely

If you are willing to recommend that we contact your friend or associate or if you marked not sure or not likely please tell us more:

8) In your opinion, how often would a follow-up Fitness Assessment be of benefit to help you to stay motivated toward your own Wellness Plan?

Within 90 days of assessmentEvery 6 monthsOnce per yearAs neededNever again

9) What do you think Wellness Works NW's Fitness Assessment would cost in most professional environments such as your doctor's office or a medical clinic?

More than $200$200$100$75

10) What suggestions do you have to improve Wellness Works NW's Fitness Assessment Experience for others in the future?

OPTIONAL INFORMATION:

Your Name

Your Email

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Date

Your Message