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Secaucus Recreation Center Survey
Name
Address
Phone
Email
Do you plan on using the new Recreation Center?
Yes
No
How many people in your family?
What are their ages?
(Please, separate the ages by comma)
How often might you use the Recreation Center?
Once a Week
2-3 Times per Week
4-6 Times per Week
Every Day
What part of the facility might you use?
(check all that apply)
Aerobic Room
Basketball
Cardio Room
Pool
Running Track
Weight Room
What time of day might you use the facility?
(check more than one if applicable)
6am-8am
8am-noon
Noon-3pm
3pm-6pm
6pm-9pm
Later, if available
Are you a member of a Health Club now?
Yes
No
Are you a member of the Secaucus Municipal Pool?
Yes
No
Would you be interested in a personal trainer?
Yes
No
Additional comments: