Let Body Love Wellness Know Your Desires! Survey

Let Body Love Wellness Know Your Desires!

1. Default Section

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	Concerned	Neutral	Unconcerned	Very unconcerned
Feeling unattractive	Feeling unattractive Very concerned	Concerned	Neutral	Unconcerned	Very unconcerned
Unhealthful food choices	Unhealthful food choices Very concerned	Concerned	Neutral	Unconcerned	Very unconcerned
Binge eating	Binge eating Very concerned	Concerned	Neutral	Unconcerned	Very unconcerned
Weight cycling (yo-yo dieting)	Weight cycling (yo-yo dieting) Very concerned	Concerned	Neutral	Unconcerned	Very unconcerned
Anorexia	Anorexia Very concerned	Concerned	Neutral	Unconcerned	Very unconcerned
Bulimia	Bulimia Very concerned	Concerned	Neutral	Unconcerned	Very unconcerned
Depression	Depression Very concerned	Concerned	Neutral	Unconcerned	Very unconcerned
Anxiety	Anxiety Very concerned	Concerned	Neutral	Unconcerned	Very unconcerned
Feeling tired/lethargic	Feeling tired/lethargic Very concerned	Concerned	Neutral	Unconcerned	Very unconcerned
Stress	Stress Very concerned	Concerned	Neutral	Unconcerned	Very unconcerned
Not feeling like I have time to cook healthy food	Not feeling like I have time to cook healthy food Very concerned	Concerned	Neutral	Unconcerned	Very unconcerned
Other health concerns (please specify)	Other health concerns (please specify) Very concerned	Concerned	Neutral	Unconcerned	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
Healing From Disordered Eating	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. Healing From Disordered Eating Very Likely	Likely	Neutral	Unlikely	Very Unlikely
Heal And Transform Your Relationship With Food	Heal And Transform Your Relationship With Food Very Likely	Likely	Neutral	Unlikely	Very Unlikely
Creating Pleasure In Your Life	Creating Pleasure In Your Life Very Likely	Likely	Neutral	Unlikely	Very Unlikely
Easy Ways To Exercise & Create a Routine You Love	Easy Ways To Exercise & Create a Routine You Love Very Likely	Likely	Neutral	Unlikely	Very Unlikely
Healthy Eating Basics (Without Dieting Ever Again!)	Healthy Eating Basics (Without Dieting Ever Again!) Very Likely	Likely	Neutral	Unlikely	Very Unlikely
Release Stress & Create Calm	Release Stress & Create Calm Very Likely	Likely	Neutral	Unlikely	Very Unlikely
Easy Ways To Feel Beautiful Now	Easy Ways To Feel Beautiful Now Very Likely	Likely	Neutral	Unlikely	Very Unlikely
Retrain Your Thoughts For Happiness	Retrain Your Thoughts For Happiness Very Likely	Likely	Neutral	Unlikely	Very Unlikely
Creating Time For You In Your Busy Life	Creating Time For You In Your Busy Life Very Likely	Likely	Neutral	Unlikely	Very Unlikely
Re-Energize Your Body Simply & Naturally	Re-Energize Your Body Simply & Naturally Very Likely	Likely	Neutral	Unlikely	Very Unlikely
Attracting Love By Loving Your Body	Attracting Love By Loving Your Body Very Likely	Likely	Neutral	Unlikely	Very Unlikely
Health At Every Size: What It Can Mean For You	Health At Every Size: What It Can Mean For You Very Likely	Likely	Neutral	Unlikely	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	Likely	Neutral	Unlikely	Very Unlikely
Connecting With Your Intuition Through Tarot	Connecting With Your Intuition Through Tarot Very Likely	Likely	Neutral	Unlikely	Very Unlikely
Connecting With Goddess Wisdom	Connecting With Goddess Wisdom Very Likely	Likely	Neutral	Unlikely	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	Expect to try this	And by the way, I like this
6 month series of individual sessions	6 month series of individual sessions Have tried this	Expect to try this	And by the way, I like this
Free consultation	Free consultation Have tried this	Expect to try this	And by the way, I like this
In person workshops	In person workshops Have tried this	Expect to try this	And by the way, I like this
Teleclasses	Teleclasses Have tried this	Expect to try this	And by the way, I like this
Summer Romance Summit Teleclass	Summer Romance Summit Teleclass Have tried this	Expect to try this	And by the way, I like this
Reading the blog	Reading the blog Have tried this	Expect to try this	And by the way, I like this
Reading tweets	Reading tweets Have tried this	Expect to try this	And by the way, I like this
Donating to the blog	Donating to the blog Have tried this	Expect to try this	And by the way, I like this
Free monthly Q&A	Free monthly Q&A Have tried this	Expect to try this	And by the way, I like this
Listening to the podcast	Listening to the podcast Have tried this	Expect to try this	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	Expect to try this	And by the way, I like this
Purchasing downloads or CD's	Purchasing downloads or CD's Have tried this	Expect to try this	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	Expect to try this	And by the way, I like this

Other (please specify)

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