Member Facility Satisfaction Report Form
Please provide your feedback regarding your recent experience at our facility. Your input helps us improve our services.
Member Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Date of Visit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Which area(s) of the facility did you use during your visit?
*
Fitness Center
Swimming Pool
Locker Rooms
Group Exercise Studio
Cafeteria
Other
Please rate your satisfaction with the following aspects of our facility:
*
Rows
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Cleanliness
1
2
3
4
5
Staff Friendliness
6
7
8
9
10
Equipment Condition
11
12
13
14
15
Facility Safety
16
17
18
19
20
Availability of Amenities
21
22
23
24
25
How would you rate the overall atmosphere of the facility?
*
1
2
3
4
5
Were the staff responsive to your needs?
*
Yes
No
Not Applicable
Would you recommend our facility to others?
*
Definitely
Probably
Not Sure
Probably Not
Definitely Not
What did you like most about your visit?
What could we improve?
Please share any additional comments or suggestions.
Submit Feedback
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