Our goal at Nifty after Fifty is to provide outstanding customer service and we want to know your thoughts on us. Please take a moment to fill out this brief questionnaire on the various aspects of Nifty after Fifty because your opinion matters.

Member Name (Optional):

Nifty after Fifty Location: * - Select -CorporateAZ – Green ValleyAZ – MesaAZ – PhoenixAZ – Phoenix WestAZ – ScottsdaleAZ – Tucson (on Irvington)AZ – Tucson (on North Stone)AZ – Tucson (on Speedway)CA – Apple ValleyCA – BreaCA – CoronaCA – DowneyCA – East Los AngelesCA – Garden Grove (on Brookhurst)CA – Garden Grove (on Valley View)CA – Laguna WoodsCA – LakewoodCA – LawndaleCA – Los AngelesCA – Modesto (N. California)CA – PleasantonCA – RiversideCA – San Jose (N. California)CA – Santa AnaCA – UplandCA – West CovinaCA – WhittierNV – Las Vegas (on Tenaya)NV – Las Vegas (on Flamingo)NY – Brooklyn (on Ralph)NY – Brooklyn (on Church)TX – BeaumontTX – KatyTX – Houston (near Memorial)TX – Houston (North Freeway/Airtex)TX – PasadenaTX – Sugar LandVA – Richmond (Brook Road)VA – Richmond (Patterson)VA – Richmond (Robious)VA – N. Chesterfield (Jahnke)None

How long have you been a member at Nifty after Fifty?: *

Less than 1 month

1 month to 3 months

3 months to 1 year

More than 1 year

How were you referred to Nifty after Fifty?: *

Family or Friend

Medical Group or Doctor

Television Advertisement

Newspaper Advertisement

Other

If other please describe:

What is most important to you in choosing a Fitness Center?: *

Getting results

Convenience to home or work

Variety of equipment

Price of membership

Other

How do you rate the overall knowledge of the Fitness Staff? (Do they continually educate you on proper use of the equipment and explain the benefits of consistent exercise?): *

Excellent

Good

Average

Below Average

Very Poor

How often do the Fitness Coaches interact with you each session?: *

0-1 time

1-2 times

2-3 times

3-4 times

4 or more times

Fitness Staff Comments:

How do you rate the exercise equipment at Nifty after Fifty, including the cleanliness, ease of use, effectiveness, and quality?: *

Excellent

Good

Average

Below Average

Very Poor

Equipment Comments:

How do you rate the overall cleanliness of Nifty after Fifty, including the exercise area, waiting/reception area, and restrooms?: *

Excellent

Good

Average

Below Average

Very Poor

Cleanliness Comments:

Does any member(s) on our staff need special recognition for a job well done?:

Would you refer a friend/family member to Nifty after Fifty?: *

Yes

Maybe

No

Additional Comments:

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