Wellness Center Satisfaction Form
Member Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Visit
*
-
Month
-
Day
Year
Date
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Front Desk Experience
Let us know about your interaction with our staff.
How would you rate your greeting upon arrival?
Poor
1
2
3
4
Good
5
1 is Poor, 5 is Good
How would you rate the clarity and helpfulness of communication?
Poor
1
2
3
4
Good
5
1 is Poor, 5 is Good
How would you rate the timeliness of the assistance you received?
Poor
1
2
3
4
Good
5
1 is Poor, 5 is Good
How would you rate the professionalism of the front desk staff?
Poor
1
2
3
4
Good
5
1 is Poor, 5 is Good
Did any specific team member stand out, positively or negatively?
If so, please explain below.
Additional feedback about your Front Desk experience:
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Facility
How would you rate the cleanliness of the fitness floor?
Poor
1
2
3
4
Good
5
1 is Poor, 5 is Good
How would you rate the cleanliness of the locker rooms?
Poor
1
2
3
4
Good
5
1 is Poor, 5 is Good
How would you rate the availability of equipment when you need it?
Poor
1
2
3
4
Good
5
1 is Poor, 5 is Good
How would you rate the condition and maintenance of equipment?
Poor
1
2
3
4
Good
5
1 is Poor, 5 is Good
How would you rate the gym atmosphere (lighting, music, temperature)?
Poor
1
2
3
4
Good
5
1 is Poor, 5 is Good
Would you like to suggest new equipment or facility improvements?
Additional feedback about your experience:
Fitness Classes
We’d love your feedback on the fitness classes you’ve attended recently.
Which class(es) have you attended recently?
What did you enjoy most about the class(es)?
Is there anything you feel could be improved (format, instructor, music, pacing, etc.)?
Are there any specific class types, formats, or times you’d like to see added to the schedule?
Do you know anyone who may be interested in teaching a fitness class here?
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Kids Club
How would you rate the friendliness of the Kids Club staff?
Poor
1
2
3
4
Good
5
1 is Poor, 5 is Good
How would you rate staff attentiveness to your child’s needs?
Poor
1
2
3
4
Good
5
1 is Poor, 5 is Good
How would you rate how much your child enjoys Kids Club?
Poor
1
2
3
4
Good
5
1 is Poor, 5 is Good
How would you rate the safety and cleanliness of the Kids Club?
Poor
1
2
3
4
Good
5
1 is Poor, 5 is Good
Did any specific team member stand out, positively or negatively?
If so, please explain below.
Additional feedback about your Kids Club experience:
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Overall Experience
How would you rate your overall experience at our facility?
Poor
1
2
3
4
Good
5
1 is Poor, 5 is Good
Additional feedback or suggestions:
Would you like a manager to follow up with you?
Yes
No
Should be Empty: