1. Which of our facilities do you utilize for your fitness needs? Please mark all that apply.
	Portsmouth Wheelersburg Lucasville

	2. Since becoming a member of the SOMC LIFE Center, have you used a physician at SOMC or a clinical service for the first time?
	Yes No Used SOMC services prior to joining the LIFE Center

	3. Are you satisfied with the friendliness of our staff?
	Unsatisfied Satisfied Very satisfied Please tell us your experience

	4. The staff is knowledgeable of the facility and took time to show me equipment and explain LIFE Center services on my first visit.
	Strongly agree Agree Disagree Strongly disagree

	5. I easily get assistance from LIFE Center members.
	Strongly agree Agree Disagree Stronly disagree

	6. Do you participate in group fitness classes?
	YesNo Please list those you have participated in:

	7. If you answered yes above, are the group fitness classes meeting your expectations?
	YesNo Please explain.

	8. Do you use the LIFE Center pool?
	YesNo Why or why not.

	9. Do you feel the hours of operation are sufficient?
	YesNo Why or why not.

	10. Are you satisfied with the cleanliness of the facility? (Locker rooms, exercise equipment, aquatics area, group fitness studio, gymnasium)
	Very satisfied Satisfied Unsatisfied Very unsatisfied Please tell us your experience

	11. Are your questions and requests answered promptly?
	YesNo Please explain.

	12. Do you receive enough communication regarding LIFE Center services and programs?
	YesNo Please share the best way to communicate with you.

	13. How would you rate your overall LIFE Center experience?
	Poor Fair Good Excellent 1 2 3 4

	14. Would you recommend the SOMC LIFE Center to others?
	YesNo If no, please explain.

	15. Please list any member of our LIFE Center team who provided you with exceptional service:

	16. What programs or services would you like offered at the SOMC LIFE Center?