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Hi,
My name is Alycia Kluegl, Health & Fitness Consultant and owner of Empower
Your Body. At Empower Your Body, we offer services, programs, products and tools to best
facilitate ownership and achievement of an individual's health, life and
fitness related goals.
Because of your involvement with our current services, you have been invited to participate in our demographics survey. In this survey, conducted for Empower Your Body by Solution Shoppe, approximately 100 people will be asked to complete a questionnaire that asks questions about your use of our current services and future products. It will take approximately 10 minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact me, Alycia Kluegl, at 201.320.0722 or Mr. Yocari Lara with Solution Shoppe at 201.966.4425 or by email at [email protected].
Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
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| * Please write in your ZIP Code.
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| * How long have you used Empower Your Body/Alycia Kluegl? |
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| * How often do you train with Empower Your Body/Alycia Kluegl? |
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| * How likely are you to continue training with Empower Your Body/Alycia Kluegl? |
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* Would you recommend Empower Your Body/Alycia Kluegl to others?
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| * Over all, how satisfied are you with Empower Your Body/Alycia Kluegl? |
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| Please select ALL that apply.
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| * Which of the following attributes enticed you to try fitness training with Empower Your Body/Alycia Kluegl ? |
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| Please select the best option.
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| Please select the best option.
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| * Please indicate your approximate, yearly, total household income before taxes. (Include total income of all adults living in your household.) |
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Indicate activities/interests which you and/or household members enjoy on a regular basis:
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| People look for or want different goals out of life. Please study this list carefully and then rate each item in terms of how important it is to you in your daily life on the scale indicated.
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| * Of the above set of 9 values, which one is most important to you? |
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| * What is your approximate age? |
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| * Please indicate your marital status. |
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* What was the last level you completed in school?
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| Please indicate the number of children in your household under the age of 18. |
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| Including yourself, how many persons are in your household? |
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| * What is your current work status? |
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| * What is the present occupation of the head of household? |
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| * What is your present occupation? |
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| What are some aspects of Empower Your Body/Alycia Kluegl that could be improved? | | |
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| What recommendations would you offer for improving Alycia Kluegl's Empower Your Body services and products? | | |
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