健身需求调查表

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FITNESS NEEDS ANALYSIS - 健身需求调查表

您身边的健身专家

Guest name客人姓名_______________________ Date日期________________________________

FITNESS EXPERENCE 健身经历

1.Is this first visit to a CSI-Bally club? 这是您第一次光顾中体倍力健身俱乐部吗?

_______ yes 是_______No不是

2.Do your live or work nearby? 您工作或居住在附近吗?

_______ yes 是_______No不是

3.How often do you currently exercise? 你目前的锻炼频率如何?

_______Regularly有规律______Of and on 间断________Not at all从不

4.When was the last time you would consider yourself in physical condition?

您最后一次认为您身体最佳的状况是什么时候?________________________

5.What result have you seen form your current exercise program?

您从您目前的锻炼中看到了什么效果?_____________________________

6.What areas of the club are you most interested in using?

您最感兴趣的是我们俱乐部哪部分?_____________________________

7.How many times per week do you plan to use the club?

您计划每周在俱乐部锻炼几次?_____________________________

8.Do you plan to workout by yourself or with a friend or family member?

您有计划和您的朋友、家人一起锻炼吗?_____________________________

9.How would you describe your eating habit?您目前的饮食习惯如何?

________Good好 _______Fair一般_________Need improvement需要提高

FITNESS GOALS 健身目标

10.What would you like to primarily accomplish from your fitness program?

您希望通过健身达到什么重要目标?________________________________

APPEARANCE外貌: ___Lose weight减重____Firm, tighten &tone肌肉有弹性___Gain Muscle增肌

HEALTH体质:___Reduce stress减压____Increase energy增加精力____Improve health 提高身体素质PERFORMANCE表现力:___Improve athletic performance提高运动表现力____Improve endurance增加耐力

____Increase strength 增加肌肉力量

11.How much weight would like to lose or gain? 您是想通过健身减重还是增加重量

______lose减重______KG 公斤______Gain增加______KG公斤______Maintain保持

12.What is the primary reason you want to reach your fitness goals? 是什么原因促使您希望尽快达到您的健身目标?

__________________________________________________________________________________________________________ 13.Why is it important the reach you fitness goal now? 为什么您认为现在实现您的目标目标如此重要?

__________________________________________________________________________________________________________ Guest sign 客人签名 F.C. sign 健身顾问

Manager sign 经理签名

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