Exercise Feedback Survey Form
Please complete the Exercise Feedback Survey Form to share your experience and suggestions about your recent workout session.
Session Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Exercise
*
Please Select
Cardio
Strength Training
Yoga/Pilates
HIIT
Flexibility/Mobility
Other
Duration of Session (minutes)
*
How would you rate your effort level?
*
Very Low
1
2
3
4
5
6
7
8
9
Very High
10
1 is Very Low, 10 is Very High
Overall satisfaction with the session
*
1
2
3
4
5
What went well during the session?
What could be improved for future sessions?
Would you like to participate in future workout sessions?
*
Yes
No
Maybe
Preferred workout intensity for next session
Low
Moderate
High
No preference
Additional comments or suggestions
Submit Feedback
Should be Empty: