Club Locator Survey

After completing this survey we will compile the results, making a list of the clubs that will best meet your requirements. By analyzing your goals while including your prior exercise history we are able to determine which club is your best choice. We will choose a club that is strong and stable, meeting your special requirements. We will then negotiate the best possible rate for your membership. Giving you the best value for your money. We will activate and handle your membership dues and fees all you need to do is go into the club and exercise. Enjoy your membership!

Name of Organization

*First Name
*Last Name
*Mailing Address
Mailing Address 2
City
State
Zip Code
*Day Phone Number
Fax Number
*Email Address

Are you currently a member of a health club?
Is price of the club a function of joining?
If yes pick your monthly price range.
Are you currently exercising at home?
Please check all home exercise equipment you now own.
Treadmill Upright bike Stair Climber Elliptical None
Please list your goals Check all that apply, then add any additional comments.
Lose weight Increase your strength	Total body conditioning Improve your aerobic capacity


Club features you are looking for check all that apply, please add any additional comments.
Cardio area Free Weights Strength Circuit Personal Training Racquetball Group Fitness Classes	Nutritional Consultations Message Therapy Whirpool Sauna Swimming Pool Nursery Tennis Basketball


How did you hear about us?
Internet Mail Flyer Friend Sales Call
Other

Comments or Questions

Don't put anything in the following field:
* = required fields