Afaa Survey

AFAA is committed to bridging the gap between fitness and health care. To accomplish this, we need your input. Please fill out the following survey to help us better understand you: our AFAA professional. Also, when you submit your response by July 6, 2001, you will be eligible to win an AFAA Fit Kit - a $640 value! Please mail completed surveys to American Fitness, 15250 Ventura Blvd., Suite 200, Sherman Oaks, CA 91403. You can also complete this survey at www.afaa.com.

1. Name: --
   Address: --
   Home Phone: --
   Work Phone: --
   Fax: --
   Email: --

2. What is the highest level of
eduation you've completed?
  [] High School
  [] Some college
  [] Junior College
  [] Trade School
  [] Undergraduate University
  [] Graduate
  [] Post Graduate
  [] Other --

3. What is the highest degree
you've earned?
  [] AA
  [] BA
  [] BS
  [] MA
  [] MS
  [] MD
  [] PhD, or other doctorate level
     degree
  [] I do not hold a 4-year degree
  [] Other --

4. What field of study did you
earn your degree?
  [] Biology
  [] Biomechanics
  [] Chiropractics
  [] EMT
  [] Exercise Physiology
  [] Kinesiology
  [] Medicine
  [] Nursing
  [] Nutrition
  [] Occupational Therapy
  [] Pharmacy
  [] Physical Therapy
  [] Physical Education
  [] Physician Assistant
  [] Physiology
  [] Psychology
  [] Public Health
  [] Other --

5. Is your current primary
occupation health or
fitness related?
  [] Yes   [] No
  [] I am currently unemployed

6. Is your secondary occupation
related to health or fitness?
  [] Yes   [] No
  [] I do not have a secondary
     occupation.

7. If you answered, "Yes" to
question 5 or 6, in what type of
environment do you work? (Check
all that apply)
  [] Client's home
  [] Corporation
  [] Fitness center
  [] Hospital
  [] School
  [] Spa
  [] Wellness clinic
  [] Other --

8. In the next three years,
do you think the Internet will
have a great impact on fitness
and health professionals?
  [] Yes   [] No

9. In the next three years,

do you expect to train clients
over the Internet?
  [] Yes   [] No

10. In the next three years, how
much will you participate in
online fitness workshops,
certifications and continuing
education?
  [] Frequently
  [] Occasionally
  [] Rarely or Never
  [] Not Sure

11. In the next three years, will
you use online applications
to help evaluate clients and offer
them computer generated
fitness regimens?
  [] Frequently
  [] Occasionally
  [] Rarely or Never
  [] Not Sure

12. What is your annual
household income?
  [] Under $14,999
  [] $15,000 - $24,999
  [] $25,000 - $39,999
  [] $40,000 - $59,999
  [] $60,000 - $79,999
  [] $80,000 - $99,999
  [] $100,000 - $149,000
  [] $150,000 +

COPYRIGHT 2001 Aerobics and Fitness Association of America
COPYRIGHT 2001 Gale Group