Fitness & Wellness Department

Your Name:
Course: Section Number: Instructor:
Please use pen or pencil to completely fill in the bubble corresponding to your response.
Please mark the top reason you registered for this class: (select only one)
Prepare to transfer to a university or other institution in Health, Physical Education,
Recreation, Fitness and/or Wellness program.
Work towards completion of a professional Certificate for employment as a Personal Trainer,
Aerobics/Group Fitness Instructor or in other health, recreation, wellness or fitness
professions.
Learn or improve skills in a sport and/or recreational activity.
Learn current, accurate educational information related to fitness, health, wellness and/or
recreation.
Have the opportunity to participate in lifetime sports, fitness, recreation and/or leisure
activities.
Other:
Please list two specific personal goals you would like to achieve in this class this semester:
1.
2.
To be completed at the end of the semester
Your responses will in no way affect your grade for this course. The Fitness & Wellness
department is interested in your responses so that we may continually improve our courses and
provide you with a better experience.
Completely fill in the number that best reflects the level to which you achieved the goals set at
the beginning of this semester:
No progress Moderate gains Reached my goal
Goal #1: Q _ + w
Goal #2: Q _ + w
Completely fill in the number that best reflects your interest in continuing to participate in this
activity/subject:
None Moderately interested Love it!
Q _ + w
Comments, please: