march wellness .:. join .:. how to join march wellness

3303 SW Bond Ave.
Portland, Oregon
97239-4501
503 418-6272

Interest Survey

DATE

NAME

ADDRESS

CITY

STATE

ZIP

PHONE

Home

Work

E-MAIL

How did you hear about march wellness?

Member
Mail
Physical Therapy
Billboard
Word of mouth
Drive by
Yellow pages
Employee
Internet
Doctor
Other

Fitness Centers you belong or have belonged to:

Please check all that resemble how you feel:

	I need to start exercising, but I don’t know where to start.
	It bothers me that my energy is low. I’m tired all the time.
	I’m frustrated, my clothes don’t fit, I can’t find anything to wear.
	I’m stressed out. I need to relieve my stress and relax.
	I used to workout, things came up and I stopped, I need to shape up.
	My doctor said I need to exercise (i.e. high BP or high cholesterol).
	I need to get ready for an upcoming event (i.e. triathlon or reunion).
	I just want a nice place where I can workout and stay in shape.
	Other