Survey

Take our feedback survey! Click Here

The results will be read and posted anonymously.

* Indicates required field

Name *

First

Last

Email *

Cell Number *

How did you hear about Calizenix? *

Internet Search Advertisement Friend Other

If Other please specify: *

What is your age? *

Less than 13 13-18 19-30 31-40 41-50 51-60 61-70 71-80 81-90 91+ Prefer not to say

How satisfied are you with the class? *

Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied

Do You Consider Yourself: *

Hard Core Exerciser Moderate Exerciser Couch Potato

Are you or have you ever been a fitness instructor? *

Yes No

Comments ~ Please provide feedback for what you liked, what you didn't like, etc. *

Submit

720-988-9914

schaunon@schaunon.com