Customer Feedback
As a valued customer, can you please take just a moment or two to fill up this form with your valuable feedback?


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Personal Info
First name *
Last name
Your email address *
Your contact / mobile number
Would you like to be contacted by an Eclipse Gym 24/7 Representative? *
Eclipse Gym
In which gym do you primarily work out? *
Please choose the gym you usually work out at.
Please rate how satisfied you are with the service of our training programs. *
(Your overall satisfaction level - 1 for Poor to 5 for Excellent)
Poor
Excellent
Please rate how satisfied you are with the hygiene or overall cleanliness. *
Poor
Excellent
How is the pricing of our services? *
1 for Cheap to 5 for Expensive
Cheap
Expensive
Please rate how satisfied you are with the workout facilities. *
(e.g.Ambience etc. 1 for Poor to 5 for Excellent)
Poor
Excellent
Please rate how satisfied you are with the restroom/locker rooms. *
(e.g.Ambience etc. 1 for Poor to 5 for Excellent)
Poor
Excellent
Please rate how satisfied you are with the safety and security of yourself and belongings in our facilities. *
(eg. no fear of getting hurt, no worries of having belongings stolen - 1 for poor to 5 for excellent)
Poor
Excellent
Please rate how satisfied you are with the location *
(e.g. distance, convenience, parking etc - 1 for Poor to 5 for Excellent).
Poor
Excellent
Please rate how satisfied you are with the newly implemented barcode ID system. *
(eg. ease of use, the barcode ID, waiting time - 1 for poor to 5 for excellent)
Poor
Excellent
Rate your experience with Eclipse trainers
What was the name of the trainer that trained/assisted you on the first day of working out? *
What was the name of the trainer that trained/assisted you on the second day of working out? *
Was your trainer professional, friendly and helpful? *
Poor
Excellent
Please rate your trainer's ability to formulate a fitness program based on your goals? *
Poor
Excellent
How effectively did your trainer explain and demonstrate the exercises within your program? *
Poor
Excellent
How confident are you that your fitness program will keep you motivated to achieve your goals? *
Poor
Excellent
How confident are you that your fitness program will keep you motivated to achieve your goals? *
Poor
Excellent
Please rate how comfortable you feel at commencing your new exercise program by yourself? *
Poor
Excellent
Did your trainer set up a weekly training schedule? *
Please rate the overall Orientation/Program you received? *
Poor
Excellent
Did your trainer explain your options for success? i.e. Eclipse program,  Personal Training? *
Poor
Excellent
Would you be interested in some information about Personal Training? *
Would you be interested you like to have classes or have more classes in your primary Eclipse Gym branch? *
Do you exercise regularly? *
What are your fitness goals? *
Required
Eclipse Trainers Ratings
What is the name of the Trainer you like in Eclipse?
optional, please tell us which trainer you like
Why do you like this trainer?
optional, please explain your answer
What is the name of the Trainer you least like?
optional, if any please tell us which trainer you least like
Why do you not like this trainer?
optional, please explain your answer
Comments and Feedback
Your testimonial comments *
(Please elaborate e.g would you recommend to others and most importantly why, how many years are you our customer etc)
Do you have any critical feedback? What is it? *
(Is there anything you want changed or do you have a complaint about anything in the gym e.g cleanliness, customer service, etc.)
How may we make your experience better in the future?
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