Name
*
First Name
Last Name
Email
*
Section 1 — Class Times & Availability
Would you attend a 5:15am Reformer class if we introduced one?
Yes
Maybe - I'd try it occasionally
No
If you currently attend our 6:00am classes, would you still come if we moved them to 6:15am?
Yes
No, it would not suit
If you don't currently attend the 6:00am class would you attend a 6:15am class?
Yes
No, it would not suit
If you are planning to utilise our creche, would a 10:30am time suit you?
Yes
Maybe, it depends on the day
No, 10:30am doesn't work for me
Would you be interested in a Sunday yoga class at 4:00pm?
Yes
Occasionally
No
Another time would suit better
Any feedback that you have regarding the above questions
If other times suit best etc, please list below:
Section 2 — Classes & Offerings
Have you tried our Intermediate / Advanced Strength-Based Reformer classes?
Yes, I attend regularly
I have tried them, but not often
No, I haven't tried them yet
If you haven’t tried them, what’s stopping you? (Select all that apply)
Unsure if I am ready
Nervous about the difficulty
Class times don't suit me
Prefer other classes
Have you experienced all our offerings
Yes, I've tried them all
Not yet, but I'd like to
No, I'd prefer to stick to my favourites
Any feedback that you have regarding the above questions
Section 3 — Programs, Events & Community
We’re launching a 3-phase, results-based challenge soon. When would you most likely be ready to commit to a challenge?
Spring
New Year
Winter
I'm not interested right now
Would you attend workshops or seminars if we introduced them?
Yes
Maybe, depends on the topic
No
We’re exploring community initiatives and social events for our members. Which of these would you be interested in attending? (Select all that apply)
Paint / Clay & Sip Events
Mat Yoga and wine sessions at local wineries
Friday Night Meat Tray Raffle at The Cove Tavern
Any feedback that you have regarding the above questions
Section 4 — Your Experience & Goals
What do you enjoy most about Esteem Active?
If you’ve attended before but no longer attend, what’s the main reason?
If you haven’t attended yet, what’s holding you back?
What are your personal goals right now, and how can we best support you?
Section 5 - Retail & Extras
If we started stocking retail items, what would you like to see?
We’re exploring adding additional health and wellness services to support your overall wellbeing. Which of these would you be interested in?
Mobile IV Nutrient Therapy (energy, hydration & recovery support)
Naturopathic Consultations (natural remedies, nutrition & lifestyle guidance)
Infrared Sauna Sessions (muscle recovery, detox & relaxation)
Cold Plunge Therapy (inflammation reduction, circulation & mental clarity)
Other wellness services not listed
Section 6 — Final Feedback
Are there any class times you’d like to see added to the timetable?
Any other feedback or suggestions to help us improve your experience?