Organization:
Contact Person:
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Please complete the following questionnaire. All responses are confidential.

1.List your top 3 reasons for wanting a Workplace Fitness program: (Please be specific)

a.

b.

c.
  
2.How many employees do you anticipate participating in the program?

  
3.How did you hear about us?

  
4.How many days a week would you like classes to be offered?

  
5.What time of the day would you prefer for classes be offered?

  
6.Are you interested in our 30 minute or 60 minute classes?

  
7.Are you interested in our 4 or 8 week program?

  
8.When would you like to get started?

  
9.What style class are you interested in?










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