What does a Goddess like You Desire?
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1. Default Section
*
1
. A bit about you, Dear Goddess...
(must add at least "city/town")
A bit about you, Dear Goddess... (must add at least "city/town")
Name:
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
Email Address:
Phone Number:
2
. Have you Ever tried the Goddess Workout?
Have you Ever tried the Goddess Workout?
Yes
No
3
. If yes, what did you enjoy the most about the Class?
If yes, what did you enjoy the most about the Class?
4
. If Yes, What could be improved about the class?
If Yes, What could be improved about the class?
5
. If you answered No, you haven't yet tried a Goddess Workout Class, what is your hesitation?
If you answered No, you haven't yet tried a Goddess Workout Class, what is your hesitation?
no Classes/Goddess Parties in my area
Inconvienient times of classes (what would be better for you?)
Classes are too expensive
Too Busy
Nervous to try something new
other
Please expand your answer in the box below!
Other (please specify)
6
. Please finish this sentence...
"I wish......"
Please finish this sentence... "I wish......"
7
. Have you ever Visited the Goddess Shoppe in Sayville?
Have you ever Visited the Goddess Shoppe in Sayville?
Yes
No
8
. What did you enjoy or dislike about the Store?
What did you enjoy or dislike about the Store?
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