QRF Affiliate Questionnaire
Gym/Facility Name
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Gym/Facility Owner's Name or POC
*
Email
*
Phone
*
Physical Location
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State
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City
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Postal code
*
Mailing Address (if different)
I agree to
terms & conditions
provided by the company. By providing my phone number, I agree to receive text messages from the business.
Are you willing to subsidize or provide training/memberships for Veterans in exchange for a tax credit?
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Yes
No
How would you describe your gym? Please include things like mission, motto, types of clients and members you serve.
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How would you categorize your gym’s specialty? (Select all that apply)
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Remedial
Weight Loss
Physical Therapy
Strength and Conditioning
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What are the gym’s hours of operation?
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What classes do you offer? Does a basic membership cover these classes? Please explain.
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Do you offer individual training?
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Yes
No
What is your Veteran or first responder participation like currently?
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What is your experience in working with Veterans?
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Is your gym LGBTQ friendly?
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Yes
No
What is the best way for someone from our outreach team to contact you?
*
