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Woolwich Community Health Centre - Fitness Feedback Form (June 2023)
Thank you for filling out the evaluation/feedback survey for the WCHC fitness classes. I will take your feedback into consideration when planning fitness classes in the future. Remember, these classes are for YOU so let me know what you'd like to see!
Thank you!
-Tariq Abdulhadi
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What is your age?
19 or under
20 - 29
30 - 39
40 - 49
50 - 59
60 - 69
70+
Clear selection
What is your gender?
Male
Female
Prefer not to answer
Other:
Clear selection
What best describes your racial/ethnic background?
BAC (Black, African, Caribbean)
Latin American
Asian
South Asian
White/caucasian (European, North American)
Indigenous
Middle Eastern
Mennonite (Low-German Speaking, Old Order, David Martin, Amish)
Prefer not to say
Other:
Clear selection
What is your education level?
Grade 8
Some high school
High school diploma
Some college/university
Trade school/apprenticeship
College
University
Post graduate degree
Other:
Clear selection
Which Geographic area of Woolwich do you live in?
Elmira
St. Jacobs
Bloomingdale
Breslau
Heidelberg
Outside of Woolwich
Other:
Clear selection
Which class(es) did you attend during the Winter 2023 season? (select all that apply)
Better Bones
Body Fit
MAC
Building Strength & Balance
Core
Mindfulness Yoga
Yogalates
Recovery Mobility
Fundamental Fitness
None
What do you like about the WCHC fitness classes?
Your answer
What do you like least about the WCHC fitness classes?
Your answer
Overall, how satisfied are you with the classes you have attended?
Very unsatisfied
1
2
3
4
5
Very Satisfied
Clear selection
How would you rate your overall improvement in fitness
after attending your classes?
Worse than before
Neutral / No improvement
Some improvement
Great improvement
Clear selection
Do you prefer classes to run in-person, virtually or a mix of both?
In-person
Virtually
Mixed
Clear selection
As a result of attending the fitness classes, have you changed any of your health behaviours in a positive manner (i.e., more exercise, what you eat, etc.)?
Yes
No
Clear selection
If you answered yes, please state what changes you have made.
Your answer
Are there any classes that are not being offered that you'd like to see in the future? (leave blank if none).
Your answer
Do you have any suggestions on how to improve the fitness classes?
Your answer
What time of day do you prefer fitness classes to be offered?
Morning (9:00 - 11:30 AM)
Afternoon (12:00 - 5:00)
Evening (5:30 - 8:00)
Clear selection
What day of the week do you prefer? (Select all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Do you face any barriers to attending fitness classes (things that make it hard to attend)? Please state below.
Your answer
Have you ever used our website to find information about programs?
Yes
No
Clear selection
Have you visited our Wellness Blog to view other programs?
Yes
No
Clear selection
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