In order to improve the quality of service for our valued members, we would like to know your
perceptions on various issues related to the Student Health & Wellness Center. Please take a couple of
minutes to assist us.
9. How often do you participate in the following classes at
the SHWC:
Never
Often
Turbo Kick
1
2
3
4
5
Cardio Combo
1
2
3
4
5
Yoga Classes
1
2
3
4
5
Water Aerobics
1
2
3
4
5
Zumba
1
2
3
4
5
1) Which of the following best describes your
membership type?
[ ] AAMU Faculty/Staff [ ] Community
[ ] AAMU Student
[ ] Family
[ ] AAMU Alumni
[ ] Other
2) How often do you attend the SHWC?
[ ] Every Day
[ ] Once a month
[ ] 2-3 times/week
[ ] Once a week
[ ] 4-7 times/week
[ ] Rarely ever
3) What time of day do you typically visit the SHWC?
[ ] Morning
[ ] Afternoon
[ ] Mid-day
[ ] Evening
4) What is the primary reason that you joined the
SHWC? (check only one)
[ ] Location [ ] Personal instruction [ ] Price
[ ] Classes
[ ] Hours of operation [ ] Facilities
10. Would you recommend the SHWC to others?
_______ Yes
_______ No
11. Please rate these incentives on their effectiveness in
getting you to convince one of your friends to join.
Ineffective
Effective
Free SHWC T-shirt
[ ]1 [ ]2 [ ]3 [ ]4 [ ]5
Free month’s membership
for referring new members [ ]1 [ ]2 [ ]3 [ ]4 [ ]5
5) How did you find out about the SHWC?
[ ] Health Care Provider [ ] TV
[ ] Friend/Family
[ ] Newspaper
[ ] Radio
[ ] Co-worker
[ ] Advertising board/banner
[ ] Other____________
12. Overall, on a scale of 1-10, with 10 being highest, how
satisfied are you with your experience at the SHWC?
6) What activities do you find yourself enjoying most at
the SHWC?
[ ] Weight room [ ] Water aerobics [ ] Cardio area
[ ] Gymnasium [ ] Indoor track
[ ] Aerobics
[ ] Lap/Open swimming
13. Please circle the age range that applies to you.
7) Please rate the quality of these features of the
SHWC:
Excellent
Customer Service
[ ]5 [ ]4 [ ]3 [ ]2
Cleanliness
[ ]5 [ ]4 [ ]3 [ ]2
Class Instruction
[ ]5 [ ]4 [ ]3 [ ]2
Assistance w/workout
[ ]5 [ ]4 [ ]3 [ ]2
Equipment availability
[ ]5 [ ]4 [ ]3 [ ]2
Locker Rooms
[ ]5 [ ]4 [ ]3 [ ]2
Class Times
[ ]5 [ ]4 [ ]3 [ ]2
Hours of operation
[ ]5 [ ]4 [ ]3 [ ]2
Equipment quality
[ ]5 [ ]4 [ ]3 [ ]2
Class variety
[ ]5 [ ]4 [ ]3 [ ]2
Cost of membership
[ ]5 [ ]4 [ ]3 [ ]2
Friendliness of Staff
[ ]5 [ ]4 [ ]3 [ ]2
14. What is your gender?
Poor
[ ]1
[ ]1
[ ]1
[ ]1
[ ]1
[ ]1
[ ]1
[ ]1
[ ]1
[ ]1
[ ]1
[ ]1
8. What features of the SHWC would you like to see added
or changed?
_____________________________________________
_____________________________________________
Dissatisfied 1 2 3 4 5 6 7 8 9 10 Satisfied
<=16
33-36
53-56
17-20
37-40
57-60
_______ Female
21-24
41-44
61-64
25-28
45-48
65-70
29-32
49-52
70+
_______ Male
15. What is your zip code? _______________
16. Any additional comments or suggestions?
___________________________________________
___________________________________________
___________________________________________
Optional: Name:________________________________
Phone Number:_________________________
E-Mail Address:________________________
Thank you for completing this survey, your
responses are greatly appreciated.
Have a great workout!