Prefill/Hidden Fields
Account ID (Prefill Club ID)
Club Country
Australia
United States
Canada
Date
Overall Score
Overall Percent
Grade
Prefix:
Please select...
Mr
Ms
Mrs
Dr
First Name:
Last Name:
Email Address:
Please include a valid email address so we can follow up with you.
Confirm Email Address:
Are you a member?
Yes
No
Member Number
Was the club you visited your home club?
Yes
No
N/A
Have you spoken to your home club?
Yes
No
N/A
Please rate the following on a 1 to 5 scale, 5 being best.
Cleanliness
How would you rate the cleanliness of the parking lot/entry way?
1
2
3
4
5
How would you rate the cleanliness of the carpark/entry way?
1
2
3
4
5
How would you rate the cleanliness of the club floor?
1
2
3
4
5
How would you rate the cleanliness of the locker rooms?
1
2
3
4
5
Are the paper towels/toilet paper always fully stocked?
1
2
3
4
5
Are the trash barrels clean and well maintained?
1
2
3
4
5
Are the trash bins and cleaning stations well maintained?
1
2
3
4
5
Are you a Black Card Member or Classic Member?
Black Card
Classic
N/A
If you are a Black Card Member, how would you rate the cleanliness of our Black Card amenities?
1
2
3
4
5
Customer Service
How would you rate our Customer Service?
1
2
3
4
5
Do you receive a hello/goodbye upon entering/exiting the club?
1
2
3
4
5
Atmosphere
Is the atmosphere at the club courteous, comfortable, and non-intimidating?
1
2
3
4
5
Equipment
The equipment at the club is consistently in good repair?
1
2
3
4
5
The equipment is consistently available without a wait?
1
2
3
4
5
Additional Information
Are you a Planet Fitness mobile app user?
Yes
No
If so, how do you like it?
1
2
3
4
5
Have you heard of our PE@PF Program? (unlimited fitness training)
Yes
No
Do you utilize our PE@PF Program?
Yes
No
Do you utilise our PE@PF Program?
Yes
No
Are you happy with the club music system, Nightlife?
Yes
No
Are you happy with the club music system and volume?
Yes
No
Closing Questions
How is your overall satisfaction with Planet Fitness?
1
2
3
4
5
How likely would you be to recommend a Planet Fitness Club to others?
1
2
3
4
5
Please share any comments you would like us to know: