Let Body Love Wellness Know Your Desires!
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1. Have you taken a Body Love Wellness Workshop before?

Have you taken a Body Love Wellness Workshop before? Yes

2. Please let us know your city and state.

Please let us know your city and state. City/Town:
State:

3. What locations for workshops work best for you?

What locations for workshops work best for you? In person at Re/Dress (109 Boerum Place, Brooklyn)

In person at a location in Manhattan

In person in Astoria, Queens

Calling in to the class from home

Other (please specify)

4. What times for workshops would work best for you?

What times for workshops would work best for you? Monday evenings

Tuesday evenings

Another weeknight

Saturday morning

Saturday afternoon

Sunday morning

Sunday afternoon

Other (please specify)

5. How long would you like the workshop to be?

How long would you like the workshop to be? An hour to an hour and a half

An hour to an hour and a half as part of a weekly series of three to four classes

An hour to an hour and a half as part of a weekly series of five to six classes

An hour to an hour and a half as part of a weekly series of seven or more classes

Two to three hours as part of a weekly series of three to four classes

Two to three hours as part of a weekly series of three to five or more classes

Other (please specify)

6. Please rate the following health/body image issues by how much they concern you right now.

	Very concerned	Concerned	Neutral	Unconcerned	Very unconcerned
Difficulty getting exercise/finding exercise I like	*Please rate the following health/body image issues by how much they concern you right now. Difficulty getting exercise/finding exercise I like Very concerned	Difficulty getting exercise/finding exercise I like Concerned	Difficulty getting exercise/finding exercise I like Neutral	Difficulty getting exercise/finding exercise I like Unconcerned	Difficulty getting exercise/finding exercise I like Very unconcerned
Feeling unattractive	Feeling unattractive Very concerned	Feeling unattractive Concerned	Feeling unattractive Neutral	Feeling unattractive Unconcerned	Feeling unattractive Very unconcerned
Unhealthful food choices	Unhealthful food choices Very concerned	Unhealthful food choices Concerned	Unhealthful food choices Neutral	Unhealthful food choices Unconcerned	Unhealthful food choices Very unconcerned
Binge eating	Binge eating Very concerned	Binge eating Concerned	Binge eating Neutral	Binge eating Unconcerned	Binge eating Very unconcerned
Weight cycling (yo-yo dieting)	Weight cycling (yo-yo dieting) Very concerned	Weight cycling (yo-yo dieting) Concerned	Weight cycling (yo-yo dieting) Neutral	Weight cycling (yo-yo dieting) Unconcerned	Weight cycling (yo-yo dieting) Very unconcerned
Anorexia	Anorexia Very concerned	Anorexia Concerned	Anorexia Neutral	Anorexia Unconcerned	Anorexia Very unconcerned
Bulimia	Bulimia Very concerned	Bulimia Concerned	Bulimia Neutral	Bulimia Unconcerned	Bulimia Very unconcerned
Depression	Depression Very concerned	Depression Concerned	Depression Neutral	Depression Unconcerned	Depression Very unconcerned
Anxiety	Anxiety Very concerned	Anxiety Concerned	Anxiety Neutral	Anxiety Unconcerned	Anxiety Very unconcerned
Feeling tired/lethargic	Feeling tired/lethargic Very concerned	Feeling tired/lethargic Concerned	Feeling tired/lethargic Neutral	Feeling tired/lethargic Unconcerned	Feeling tired/lethargic Very unconcerned
Stress	Stress Very concerned	Stress Concerned	Stress Neutral	Stress Unconcerned	Stress Very unconcerned
Not feeling like I have time to cook healthy food	Not feeling like I have time to cook healthy food Very concerned	Not feeling like I have time to cook healthy food Concerned	Not feeling like I have time to cook healthy food Neutral	Not feeling like I have time to cook healthy food Unconcerned	Not feeling like I have time to cook healthy food Very unconcerned
Other health concerns (please specify)	Other health concerns (please specify) Very concerned	Other health concerns (please specify) Concerned	Other health concerns (please specify) Neutral	Other health concerns (please specify) Unconcerned	Other health concerns (please specify) Very unconcerned

Other (please specify)

7. Provided the class is in a convenient location at a time that works for you, please rate how likely you are to take classes on the following topics.

	Very Likely	Likely	Neutral	Unlikely	Very Unlikely
Re-Energize Your Body Simply & Naturally	*Provided the class is in a convenient location at a time that works for you, please rate how likely you are to take classes on the following topics. Re-Energize Your Body Simply & Naturally Very Likely	Re-Energize Your Body Simply & Naturally Likely	Re-Energize Your Body Simply & Naturally Neutral	Re-Energize Your Body Simply & Naturally Unlikely	Re-Energize Your Body Simply & Naturally Very Unlikely
Healing From Disordered Eating	Healing From Disordered Eating Very Likely	Healing From Disordered Eating Likely	Healing From Disordered Eating Neutral	Healing From Disordered Eating Unlikely	Healing From Disordered Eating Very Unlikely
Attracting Love By Loving Your Body	Attracting Love By Loving Your Body Very Likely	Attracting Love By Loving Your Body Likely	Attracting Love By Loving Your Body Neutral	Attracting Love By Loving Your Body Unlikely	Attracting Love By Loving Your Body Very Unlikely
Easy Ways To Feel Beautiful Now	Easy Ways To Feel Beautiful Now Very Likely	Easy Ways To Feel Beautiful Now Likely	Easy Ways To Feel Beautiful Now Neutral	Easy Ways To Feel Beautiful Now Unlikely	Easy Ways To Feel Beautiful Now Very Unlikely
Health At Every Size: What It Can Mean For You	Health At Every Size: What It Can Mean For You Very Likely	Health At Every Size: What It Can Mean For You Likely	Health At Every Size: What It Can Mean For You Neutral	Health At Every Size: What It Can Mean For You Unlikely	Health At Every Size: What It Can Mean For You Very Unlikely
Creating Time For You In Your Busy Life	Creating Time For You In Your Busy Life Very Likely	Creating Time For You In Your Busy Life Likely	Creating Time For You In Your Busy Life Neutral	Creating Time For You In Your Busy Life Unlikely	Creating Time For You In Your Busy Life Very Unlikely
Heal And Transform Your Relationship With Food	Heal And Transform Your Relationship With Food Very Likely	Heal And Transform Your Relationship With Food Likely	Heal And Transform Your Relationship With Food Neutral	Heal And Transform Your Relationship With Food Unlikely	Heal And Transform Your Relationship With Food Very Unlikely
Release Stress & Create Calm	Release Stress & Create Calm Very Likely	Release Stress & Create Calm Likely	Release Stress & Create Calm Neutral	Release Stress & Create Calm Unlikely	Release Stress & Create Calm Very Unlikely
Easy Ways To Exercise & Create a Routine You Love	Easy Ways To Exercise & Create a Routine You Love Very Likely	Easy Ways To Exercise & Create a Routine You Love Likely	Easy Ways To Exercise & Create a Routine You Love Neutral	Easy Ways To Exercise & Create a Routine You Love Unlikely	Easy Ways To Exercise & Create a Routine You Love Very Unlikely
Creating Pleasure In Your Life	Creating Pleasure In Your Life Very Likely	Creating Pleasure In Your Life Likely	Creating Pleasure In Your Life Neutral	Creating Pleasure In Your Life Unlikely	Creating Pleasure In Your Life Very Unlikely
Healthy Eating Basics (Without Dieting Ever Again!)	Healthy Eating Basics (Without Dieting Ever Again!) Very Likely	Healthy Eating Basics (Without Dieting Ever Again!) Likely	Healthy Eating Basics (Without Dieting Ever Again!) Neutral	Healthy Eating Basics (Without Dieting Ever Again!) Unlikely	Healthy Eating Basics (Without Dieting Ever Again!) Very Unlikely
Retrain Your Thoughts For Happiness	Retrain Your Thoughts For Happiness Very Likely	Retrain Your Thoughts For Happiness Likely	Retrain Your Thoughts For Happiness Neutral	Retrain Your Thoughts For Happiness Unlikely	Retrain Your Thoughts For Happiness Very Unlikely

Other (please specify)

8. If all of the above classes were offered, would you be interested in purchasing packages of classes, such as a 3 or 6 pack of classes?

If all of the above classes were offered, would you be interested in purchasing packages of classes, such as a 3 or 6 pack of classes? yes

maybe

9. Provided the class is in a convenient location at a time that works for you, please rate how likely you are to take classes on the following (slightly off-topic) topics.

	Very Likely	Likely	Neutral	Unlikely	Very Unlikely
The Tarot Of Self Care	*Provided the class is in a convenient location at a time that works for you, please rate how likely you are to take classes on the following (slightly off-topic) topics. The Tarot Of Self Care Very Likely	The Tarot Of Self Care Likely	The Tarot Of Self Care Neutral	The Tarot Of Self Care Unlikely	The Tarot Of Self Care Very Unlikely
Connecting With Your Intuition Through Tarot	Connecting With Your Intuition Through Tarot Very Likely	Connecting With Your Intuition Through Tarot Likely	Connecting With Your Intuition Through Tarot Neutral	Connecting With Your Intuition Through Tarot Unlikely	Connecting With Your Intuition Through Tarot Very Unlikely
Connecting With Goddess Wisdom	Connecting With Goddess Wisdom Very Likely	Connecting With Goddess Wisdom Likely	Connecting With Goddess Wisdom Neutral	Connecting With Goddess Wisdom Unlikely	Connecting With Goddess Wisdom Very Unlikely

Other (please specify)

10. Have you tried the following offerings/options from Body Love Wellness? Do you expect to do so soon? Do you like certain ones in particular?

	Have tried this	Expect to try this	And by the way, I like this
3 month series of individual sessions	*Have you tried the following offerings/options from Body Love Wellness? Do you expect to do so soon? Do you like certain ones in particular? 3 month series of individual sessions Have tried this	3 month series of individual sessions Expect to try this	3 month series of individual sessions And by the way, I like this
6 month series of individual sessions	6 month series of individual sessions Have tried this	6 month series of individual sessions Expect to try this	6 month series of individual sessions And by the way, I like this
Free consultation	Free consultation Have tried this	Free consultation Expect to try this	Free consultation And by the way, I like this
In person workshops	In person workshops Have tried this	In person workshops Expect to try this	In person workshops And by the way, I like this
Teleclasses	Teleclasses Have tried this	Teleclasses Expect to try this	Teleclasses And by the way, I like this
Summer Romance Summit Teleclass	Summer Romance Summit Teleclass Have tried this	Summer Romance Summit Teleclass Expect to try this	Summer Romance Summit Teleclass And by the way, I like this
Reading the blog	Reading the blog Have tried this	Reading the blog Expect to try this	Reading the blog And by the way, I like this
Reading tweets	Reading tweets Have tried this	Reading tweets Expect to try this	Reading tweets And by the way, I like this
Donating to the blog	Donating to the blog Have tried this	Donating to the blog Expect to try this	Donating to the blog And by the way, I like this
Free monthly Q&A	Free monthly Q&A Have tried this	Free monthly Q&A Expect to try this	Free monthly Q&A And by the way, I like this
Listening to the podcast	Listening to the podcast Have tried this	Listening to the podcast Expect to try this	Listening to the podcast And by the way, I like this
Subscribing to the podcast on itunes or zune	Subscribing to the podcast on itunes or zune Have tried this	Subscribing to the podcast on itunes or zune Expect to try this	Subscribing to the podcast on itunes or zune And by the way, I like this
Purchasing downloads or CD's	Purchasing downloads or CD's Have tried this	Purchasing downloads or CD's Expect to try this	Purchasing downloads or CD's And by the way, I like this
Having Golda speak at your organization or office	Having Golda speak at your organization or office Have tried this	Having Golda speak at your organization or office Expect to try this	Having Golda speak at your organization or office And by the way, I like this

Other (please specify)

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Let Body Love Wellness Know Your Desires!Exit this survey

1. Default Section

1. Have you taken a Body Love Wellness Workshop before?

2. Please let us know your city and state.

3. What locations for workshops work best for you?

4. What times for workshops would work best for you?

5. How long would you like the workshop to be?

6. Please rate the following health/body image issues by how much they concern you right now.

7. Provided the class is in a convenient location at a time that works for you, please rate how likely you are to take classes on the following topics.

8. If all of the above classes were offered, would you be interested in purchasing packages of classes, such as a 3 or 6 pack of classes?

9. Provided the class is in a convenient location at a time that works for you, please rate how likely you are to take classes on the following (slightly off-topic) topics.

10. Have you tried the following offerings/options from Body Love Wellness? Do you expect to do so soon? Do you like certain ones in particular?

Let Body Love Wellness Know Your Desires!
Exit this survey