Exercise Referral - Group Session

 

1. Please enter your company name

 

2. What is your facility's address?

 

3. Primary contact [member of staff in charge of bookings]

 

4. What's your email address

 

5. Which class would you like to book?

 

6. How many sessions would you like to book?

 

7. Would you like to add on a tea and chat post session?

 

8. Will your facility provide the tea and cups?

 

9. How many clients would you like to take part in the session?

 

10. Please provide the approximate measurements of the space wherein the sessions will take place.

 

11. Please list three main goals for your clients [what would you like them to get out of the sessions?]

 

12. Please detail any specific, additional requirements for individuals who may take part in the dance exercise class.

 

13. Please provide us with any further comments you feel may be of use.

Use our survey software to make a survey.