Brand Excellence: Member Survey
Club Name:
(If this is not the correct location, please select the correct location from our website)
Prefix:
Please select...
Mr
Ms
Mrs
Dr
None
First Name:
Last Name:
Email Address:
Please include a valid email address so we can follow up with you.
Confirm Email Address:
Member Number
Was the club you visited your home club?
Yes
No
I'm not a member
Have you spoken to your home club?
Yes
No
N/A
Date of Club Visit
Time of Club Visit (format: HH:MM AM/PM)
What is your primary reason for contacting us today?
Please select...
Compliment
Concern
Question
Suggestion/Request
Additional Comments
Based on your overall experience, how likely are you to recommend this location to a friend?
Very Likely
Likely
Indifferent
Unlikely
Highly Unlikely
Additional Comments
Based on your overall experience, how likely are you to recommend our Black Card Amenities to a friend?
Very Likely
Likely
Indifferent
Unlikely
Highly Unlikely
N/A
Additional Comments
Based on your overall experience, how would you rate the friendliness of our team members?
Very Friendly
Friendly
Indifferent
Unfriendly
Very Unfriendly
Additional Comments
Did you have an overall positive workout experience today?
Yes
No
Additional Comments
How would you rate the cleanliness of our facility?
Very Clean
Clean
Indifferent
Dirty
Very Dirty
Additional Comments
How would you rate the cleanliness of the club floor?
Very Clean
Clean
Indifferent
Dirty
Very Dirty
Additional Comments
How would you rate the cleanliness of the locker rooms?
Very Clean
Clean
Indifferent
Dirty
Very Dirty
Additional Comments
how would you rate the cleanliness of our Black Card Amenities?
Very Clean
Clean
Indifferent
Dirty
Very Dirty
Additional Comments
Are the paper towels/toilet paper always fully stocked?
Always
Mostly
Sometimes
Rarely
Never
Additional Comments
Are the trash barrels clean and well maintained?
Always
Mostly
Sometimes
Rarely
Never
Additional Comments
Overall Score
Grade
Account ID (Prefill Club ID)
Group Number (Prefill)
Contact Information