Fitness Warriors Class Participant Survey
Thank you for participating in a Fitness Warriors class! We’d love to hear from you. Please take a moment to answer the questions below. All the following questions are voluntary. Once complete, click submit at the bottom of the page.
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Email *
Your name:
Your Warrior Instructor's name(s): (list all if more than one)
Age:
Height (feet and inches, ex: 5'9''):
Weight (lbs):
Zip code:
How many Fitness Warrior classes have you been to in the last six months?
How many minutes per week are you physically active (walking, sports, dance, Warriors classes, etc)?  
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Rate your current levels of physical fitness on a scale of 1 (very low) to 5 (very high) below:
1 (very low)
2 (low)
3 (average)
4 (high)
5 (very high)
Energy Level
Level of Flexibility
Level of Strength
Level of Cardio Endurance
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Rate how much you agree with the following statements since joining a Fitness Warriors class, by marking the appropriate box for each statement.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Not applicable
I have lost weight
I have reduced the amount of medications I take
I have reduced stress
I have improved my ability to function in daily activities (ex: taking the stairs, carrying groceries, house work, etc)
I am more confident exercising in front of others
I am more knowledgeable about physical fitness
I have a more positive outlook on life
My Fitness Warrior instructor is excellent
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Where do you get information about the Fitness Warriors classes? (Check all that apply)
Do you know about other Warrior classes in your community?
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Do you participate in other Warrior classes in your community?
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Would you recommend the Fitness Warrior classes to a friend?
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What motivates you to participate in a Fitness Warriors class? (Check all that apply)
What would prevent you from continuing to participate in a Fitness Warriors class? (Check all that apply)
Please feel free to elaborate on any of your above responses.
What stands out to you as a high point or memorable moment during your participation in the classes?
Do you have any suggestions to improve the Fitness Warriors program?
Anything else? Comments, stories, experience so far, etc?
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