R

Registration form - Start here

P

Section P – Tell us About You

1

Member Number

Any information provided will be treated confidentially.
2

Who completed this questionnaire? 

Male
Female
Joint Effort
   
3

The membership classification is:

Full Equity
Sports
Social
Corporate
Other
4

Year Joined:

1990-1992
1993-1994
1995-1996
1997-1998
1999-2000
5

Member’s Age:

Under 35
35 to 45
46 to 55
56 to 65
66 +
6

Employment status:

Full time
Part-time
Semi-retired
Retired
Work from Home
  Number of children living at home One  Two  Three  Four Five or more
 7.0 None at home        
7.1 Age
0 to 5
8 Age
6 to 10
9 Age
11 to 15
10 Age
16 to 20 
12

Total family rounds of golf played at YOUR Club per month during the year:

None
1 -10
11-25
26-50
Over 50
13

Total family of tennis sessions at YOUR Club per month during the year

0 - 5
6 -10
11-20
20-30
Over 30
14

Total family of swimming pool sessions at YOUR Club per month during the year

 

0 - 5
6 -10
11-20
20-30
Over 30
15

Total family of fitness center sessions at YOUR Club per month during the year

 

0 - 5
6 -10
11-20
20-30
Over 30
16

How many miles is your primary residence from YOUR Club?


Live in the Community
1- 4
5-10
More than 10
Out of state

17

How many other clubs do you belong to?

(country, fitness, social, yacht, hunting, etc) 

None
1
2
3
More than 3
18

Your Name

(Optional)

19

His E-mail Address
(Optional)

20

Hers E-mail Address
(Optional)

   

We are in a TEST mode. Please feel free SUBMIT responses and comments. 
Try it out...Thank you.....The Development Team


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Revised: May 20, 2007 .