Comfort Survey

Club Name*
Since mid-March, which best describes your current Shelter-in-Place attitude? Pick the two most relevant options.*
- I feel depressed
- I feel lonely
- I am restless
- I am bored
- I feel the same as always
- I am excited to get back to normal
- I feel optimistic about the future
- I have more clarity about my future
- I feel good about the things I have accomplished during this "time-out"
- Other
What is your greatest fear about the Coronavirus? Select all that apply.*
- Fear of getting the virus
- Fear of giving the virus to others
- Fear of the unknown
- Fear of financial loss
- Fear that things may not get back to normal
- Other
Greatest Fear "Other" Response*
How afraid are you of catching the Coronavirus?
Not Worried Somewhat Worried Neutral Somewhat Concerned Panicked
How afraid are you of spreading the Coronavirus?
Not Worried Somewhat Worried Neutral Somewhat Concerned Panicked
At what point will you feel comfortable enough to "venture outside the gates" to dine at a local restaurant or visit a gym or yoga facility(Non-club establishments)? Select all that apply.*
- When there is a vaccine
- When the Governor opens all businesses
- When the CDC says it is safe
- When my friends are all out enjoying life
- When I feel confident my immune system is strong enough
- Right now
- I don't know - Not sure at this time
- Other
Venture Outside Other Response*
At what point will you feel comfortable enough to "visit the club" to dine, work out at the fitness center, get a massage, take a yoga class, or any other club amenity that includes social distancing? Select all that apply.*
- When there is a vaccine
- When the Governor opens all businesses
- When the CDC says it is safe
- When my friends are all out enjoying life
- When I feel confident my immune system is strong enough
- Right now
- I don't know - Not sure at this time
- Other
Visit the Club Other Response*
What best describes your level of your overall health? Select all that apply.*
- I don't sleep well
- I am dealing with specific health issues
- I am stressed much of the time
- I sometimes feel overwhelmed
- I am open to self-improvement
- I sleep like a baby
- I am happy most of the time
- I am generally at peace
- I have a healthy work-life balance
- Other
Overall Health Other Response*
Your immunity is a result of your diet and gut health. Select all the lifestyle choices that apply.*
- I follow a vegetarian or vegan diet
- I take a daily probiotic
- I eat at least 5 servings of fruits and vegetables/day
- I have an inflammatory disease already (diabetes, heart disease, arthritis, thyroid disease, allergies...etc)
- I drink alcohol more than once per week
- I don't cook at home
- I eat a highly-processed diet
- I follow a keto or high protein diet
- Not applicable
- Other
Your Immunity Other Response*
What best describes your general level of physical activity during the Coronavirus Pandemic?*
- Sedentary much of the time
- Some periodic activity, but not enough
- Sufficient activity
- Active much of the time
- Very active much of the time
- Other
Physical Activity Other Response*
How many days a week are you physically active during the Coronavirus pandemic (golf, walking, riding, group classes, tennis etc.)*
- None
- 1-2 days per week
- 3-4 days per week
- 4-5 days per week
- 6-7 days per week

"Comfort Zone" Survey

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