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Saturday :: Oct 11th, 2008 :: 5:32 am
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Facility Profile Checklist
The information you provide below is used to best inform and/or place our clients in a suited facility that will address their specific needs.
Facility Name:


Authorized Contact:


Facility Address:


Facility City & Zip:


eMail:


Phone:

1. What county is your facility located in?


2. Is there a location preference in which you would like to see AnyWhereFitness clients come from?
Yes:   No:
    If "Yes," please specify city and/or zip code:

3. How would you best describe your health facility?
(Check all that apply):
      Fitness for Women
      Fitness for Men
      Physical Therapy Center
      Family Fitness
      Corporate Fitness
      Hospital Fitness
      Gymnastics
      Martial Arts
      Kids Fitness
      Yoga Center
      Wellness Center
      Other: 

4. What amenities does your facility offer?
(Check all that apply):
      Swimming Pool
      Jacuzzi
      Basketball Courts
      Racquetball
      Tennis
      Free Weights
      Spa
      Aerobics
      Massage Therapy
      Juice Bar
      Sauna
      Circuit Training
      Dance Lessons
      Cardio Theater
      Child Care
      Aqua Therapy
      On-Site Medical Staff
      Personal Training Staff
      Other: 

5. What are your hours of operation?:
    Monday: 
    Tuesday: 
    Wednesday: 
    Thursday: 
    Friday: 
    Saturday: 
    Sunday: 
     24 Hour Facility

6. Please identify an approximate percentage of members in each age category.   (Estimates based on 1 - 100% scale):
    % of Ages 15 - 25: 
    % of Ages 25 - 45: 
    % of Ages 45 - 65: 
    % of Ages 65 - 85: 

7. Estimate your facilities Peak and Off-Peak hours:
    Monday: 
    Tuesday: 
    Wednesday: 
    Thursday: 
    Friday: 
    Saturday: 
    Sunday: 

8. Does your facility have a web page?   Yes:   No:
    If "Yes," please provide your URL:

Please enter any further comments here:



TERMS AND CONDITIONS:


7. Typing your full name below acts as your official signature and agreement to the above outlined Terms and Conditions:



       

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