Your Name
Your Email Address
Date Of Birth
Primary Club Location
Londonderry
Salem
Derry
Manchester
Hooksett
Membership Number
x Digit Number Located on
back of your Membership Card
How would you rate our customer service?
Excellent
Good
Fair
Needs Improvement
How would you rate the cleanliness of the gym floor?
Excellent
Good
Fair
Needs Improvement
How would you rate the cleanliness of our locker rooms?
Excellent
Good
Fair
Needs Improvement
In what ways could we improve are locker room facilities?
Is the atmosphere at the gym courteous, comfortable and non-intimidating?
Yes
No
How is it or how is it not?
What do we do well?
Is there a staff member in particular that makes your visit more enjoyable and/or goes out of their way to help?
Would you recommend The Workout Club and Wellness Center to others?
Yes
No
Additional Comments
Would you like a manager to get back to you?
Yes
No
Best way to reach you
Email
Phone