Sample Employee Survey Template (Page 2 of 2) in pdf

Sample Employee Survey Template Page 2

8. Please number the activities in which you would be/are participating in order of

interest with “1” being of the most interest to you.

_____ weight training

_____ cycling

_____ walking

_____ aerobic dance/exercise classes

_____ swimming

_____ jogging

_____ martial arts

_____ kickboxing

_____ circuit training

_____ other, please explain

_________________________________________________________

9. What type of equipment do you prefer when you exercise?

(Indicate all preferences in order of importance with “1” being of most interest to you.)

____ weight training machines (e.g., Nautilus equipment)

_____ treadmill

_____ free weights

_____ resistance bands

_____ Universal Gym

_____ rowing machines

_____ stationary bike

_____ life cycles

_____ other, please explain _________________________________

10. Would you participate in a USGS-sponsored program that provided an individual

health and fitness assessment?

_____ yes

_____ no

11. Please indicate your interest in any of the following classes or activities by an “X”.

_____ aerobics

______yoga

______smoking cessation

_____ weight watchers

other (write in)_______________________

Sample Employee Survey Template Page 2