Brain Training Survey

Please take a 60 seconds to let us know when you'd like Power Braining classes at McLean Sport & Health.

Only 7 short questions!
What is your Age group?*
What time do you typically visit the gym?*

How interested are you in a Brain Fitness class that will exercise your mind and body?*

	1	2	3	4	5	6	7	8	9	10

1 is Not At All, 10 is I'd LOVE It

How many times a week would you attend a brain training class like Power Braining?*

What is your current level of fitness?*

	1	2	3	4	5	6	7	8	9	10

1 is Hard time walking, 10 is I can run 10 miles

What are the top 5 reasons you'd like a Braining Class?*

MemoryAttentionManage StressImprove MemoryProcessing SpeedFocusStrengthDexterityEnduranceHeart HealthBalanceCoordinationOther
Email*
example@example.com
Name

First NameLast Name
Any comments or questions?
Check Box if you'd like to receive information and discounts for Power Braining at McLean Sport & Health at the email address above

Please send info
Click on POWER BRAINING to learn about our Brain and Fitness Classes.
Thank you for taking the time to help McLean Sport & Health meet your needs!
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Please take a 60 seconds to let us know when you'd like Power Braining classes at McLean Sport & Health.