Surveying Your Interests
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Harmony Farm is excited to be part of your journey. We want our diverse selection of educational programming to be a reflection of your personal interests.
1
. How did you hear about Harmony Farm?
How did you hear about Harmony Farm?
2
. Select the activities below that are of interest to you.
Select the activities below that are of interest to you.
angels
anthroposophic medicine
biodynamic farming
complimentary medicine
cooking
crystals
dream interpretation
drumming
eastern medicine
essential oils
herbs
homeopathy
labyrinth
massage therapy
meditation
nutrition
organic farming
pilates
qigong
quantum touch
reflexology
reiki
retreats
spirituality
tai chi
yoga
belly dancing
art
healing touch
Other (please specify)
3
. If you would like to receive information regarding topics you selected in the previous question, please select the best method(s) we can share information with you?
If you would like to receive information regarding topics you selected in the previous question, please select the best method(s) we can share information with you?
Harmony Farm E-Newsletter
Email
Regular Mail
Facebook
Twitter
Harmony Farm website
Phone Call/Message
Other (please specify)
4
. What day(s) of the week do you prefer to attend classes/workshops at Harmony Farm
What day(s) of the week do you prefer to attend classes/workshops at Harmony Farm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
5
. What time of day/evening do you prefer to attend classes/workshops at Harmony Farm?
What time of day/evening do you prefer to attend classes/workshops at Harmony Farm?
Late Morning
Early Afternoon
Late afternoon
Evening
Other (please specify)
6
. What do you consider an ideal length of time for a class/workshop at Harmony Farm?
What do you consider an ideal length of time for a class/workshop at Harmony Farm?
7
. Please provide contact information if you would like to receive information from us. We will not share your personal contact information.
Please provide contact information if you would like to receive information from us. We will not share your personal contact information.
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:
Thank you for taking time to complete this survey. We appreciate the opportunity to be of service to you.
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