Wallman Self-Help Survey

In addition to providing therapy to individuals, couples and a weekly group...
I am looking for the best way to expand what I offer.

I am preparing a self-help process that I can teach in a variety of ways.

I appreciate your input.

1. The THREE most interesting self-help experiences would focus on:

The THREE most interesting self-help experiences would focus on: Balancing a Busy Life

Being Joyful & Authentic

Expressing My Gifts

Finding Happiness

Freeing Myself from the Past

Improving Relationships

Living Up to My Full Potential

Reducing Stress

Tools to Help Me Work on My Own

Other (please specify)

2. Which of the following terms best describes the type of experience that would appeal to you.

	Very Appealing	Somewhat Appealing	NOT so much
Class	Which of the following terms best describes the type of experience that would appeal to you. Class Very Appealing	Class Somewhat Appealing	Class NOT so much
Retreat	Retreat Very Appealing	Retreat Somewhat Appealing	Retreat NOT so much
Seminar	Seminar Very Appealing	Seminar Somewhat Appealing	Seminar NOT so much
Session	Session Very Appealing	Session Somewhat Appealing	Session NOT so much
Training	Training Very Appealing	Training Somewhat Appealing	Training NOT so much
Workshop	Workshop Very Appealing	Workshop Somewhat Appealing	Workshop NOT so much

Other (please specify)

3. Which of the following would you be likely to attend?

	Very likely	Somewhat Likely	NOT so much
One Day in L.A.	Which of the following would you be likely to attend? One Day in L.A. Very likely	One Day in L.A. Somewhat Likely	One Day in L.A. NOT so much
One Weekend in L.A.	One Weekend in L.A. Very likely	One Weekend in L.A. Somewhat Likely	One Weekend in L.A. NOT so much
One Weekend Outside of L.A.	One Weekend Outside of L.A. Very likely	One Weekend Outside of L.A. Somewhat Likely	One Weekend Outside of L.A. NOT so much
Two Hours Weekly over Four Weeks in L.A.	Two Hours Weekly over Four Weeks in L.A. Very likely	Two Hours Weekly over Four Weeks in L.A. Somewhat Likely	Two Hours Weekly over Four Weeks in L.A. NOT so much

Other (please specify)

4. I would prefer that the number of participants in a group experience be:

I would prefer that the number of participants in a group experience be: Up to Eight

Eight to Twelve

Twelve to Twenty

It Does Not Matter

Other (please specify)

5. If the total number of hours for this type of learning experience is around EIGHT, I assume the cost would average out to about:

If the total number of hours for this type of learning experience is around EIGHT, I assume the cost would average out to about: $50 hour

$75 hour

$100 hour

More than $100 hour

Other (please specify)

6. In addition to this type of group learning experience, I would be interested in Howard providing:

	Very Interesting	Somewhat Interesting	NOT so much
Phone Therapy	In addition to this type of group learning experience, I would be interested in Howard providing: Phone Therapy Very Interesting	Phone Therapy Somewhat Interesting	Phone Therapy NOT so much
Skype on-line Sessions	Skype on-line Sessions Very Interesting	Skype on-line Sessions Somewhat Interesting	Skype on-line Sessions NOT so much
A Self-Help Book	A Self-Help Book Very Interesting	A Self-Help Book Somewhat Interesting	A Self-Help Book NOT so much
A Psychological Novel	A Psychological Novel Very Interesting	A Psychological Novel Somewhat Interesting	A Psychological Novel NOT so much
A Blog	A Blog Very Interesting	A Blog Somewhat Interesting	A Blog NOT so much
An E-newsletter	An E-newsletter Very Interesting	An E-newsletter Somewhat Interesting	An E-newsletter NOT so much
Couple's Intensive (Retreat)	Couple's Intensive (Retreat) Very Interesting	Couple's Intensive (Retreat) Somewhat Interesting	Couple's Intensive (Retreat) NOT so much
Therapy for my Group or Business	Therapy for my Group or Business Very Interesting	Therapy for my Group or Business Somewhat Interesting	Therapy for my Group or Business NOT so much
Speaking to my Group or Business	Speaking to my Group or Business Very Interesting	Speaking to my Group or Business Somewhat Interesting	Speaking to my Group or Business NOT so much

Other (please specify)

7. Which of these books would you be MOST likely to read:

Which of these books would you be MOST likely to read: Liberate Your Gifted Self

Free Therapy Forever

Free Yourself to Succeed

Get Real To Get Happy

Finding Authentic Joy

Beauty/Brains/Talent

Learn Self-Mentoring

8. Please fill out the following if you wish...and Thank You.
www.yourTherapist.com

Please fill out the following if you wish...and Thank You. www.yourTherapist.com Name:
Address:
City/Town:
ZIP:
Email Address:
Phone Number:

Wallman Self-Help SurveyExit this survey

www.yourTherapist.com

1. The THREE most interesting self-help experiences would focus on:

2. Which of the following terms best describes the type of experience that would appeal to you.

3. Which of the following would you be likely to attend?

4. I would prefer that the number of participants in a group experience be:

5. If the total number of hours for this type of learning experience is around EIGHT, I assume the cost would average out to about:

6. In addition to this type of group learning experience, I would be interested in Howard providing:

7. Which of these books would you be MOST likely to read:

8. Please fill out the following if you wish...and Thank You.www.yourTherapist.com

Wallman Self-Help Survey
Exit this survey

8. Please fill out the following if you wish...and Thank You.
www.yourTherapist.com