Relationship Improvement Hi! My name is Jena Amarsi and I am conducting research on the feasibility of opening an in-person and online therapy centre for individuals and couples, based out of Saskatoon, Saskatchewan. The results will aid in designing a business that best meets the needs of the online and Saskatoon markets. This information is confidential, and will be destroyed once the data has been analyzed. Question Title * 1. Have you ever used the services of an individual or couple therapist, in-person or online? Yes No Question Title * 2. If no, why not? Check all that apply. No need for one Too expensive Prefer to fix problems myself Do not know of any Do not trust them Do not believe they will help Worry what people will think Other (please specify) Question Title * 3. If yes, whose services do you use? Check all that apply. Crossroads Therapy Penney Murphy Family Counselling Centre Family Service Saskatoon Catholic Family Service Saskatoon 7cupsoftea.com Onlinetherapyuser.ca Blahtherapy.com Therapyonline.ca Other (please specify) Question Title * 4. Where would you be likely to look for therapy services? Check all that apply. Radio TV Newspaper Word of mouth Yellow Pages Online through social media Therapist-finding websites Google Other (please specify) Question Title * 5. Please indicate the level of importance you place on the following characteristics when deciding to use a particular therapy centre (Where 1 is very unimportant and 6 is extremely important): 1 2 3 4 5 6 Confidentiality Confidentiality 1 Confidentiality 2 Confidentiality 3 Confidentiality 4 Confidentiality 5 Confidentiality 6 Location/Convenience Location/Convenience 1 Location/Convenience 2 Location/Convenience 3 Location/Convenience 4 Location/Convenience 5 Location/Convenience 6 Online Forum Online Forum 1 Online Forum 2 Online Forum 3 Online Forum 4 Online Forum 5 Online Forum 6 Likability of Therapist Likability of Therapist 1 Likability of Therapist 2 Likability of Therapist 3 Likability of Therapist 4 Likability of Therapist 5 Likability of Therapist 6 Availability of Workshops Availability of Workshops 1 Availability of Workshops 2 Availability of Workshops 3 Availability of Workshops 4 Availability of Workshops 5 Availability of Workshops 6 Access to Webinars Access to Webinars 1 Access to Webinars 2 Access to Webinars 3 Access to Webinars 4 Access to Webinars 5 Access to Webinars 6 Recognized Credentials Recognized Credentials 1 Recognized Credentials 2 Recognized Credentials 3 Recognized Credentials 4 Recognized Credentials 5 Recognized Credentials 6 Availability of Hypnotherapy Availability of Hypnotherapy 1 Availability of Hypnotherapy 2 Availability of Hypnotherapy 3 Availability of Hypnotherapy 4 Availability of Hypnotherapy 5 Availability of Hypnotherapy 6 Other (please specify) Question Title * 6. If you have sought therapy, please indicate your level of satisfaction with the therapy centre you used (Where 1 is very unsatisfied and 6 is very satisfied): 1 2 3 4 5 6 Confidentiality Confidentiality 1 Confidentiality 2 Confidentiality 3 Confidentiality 4 Confidentiality 5 Confidentiality 6 Location/Convenience Location/Convenience 1 Location/Convenience 2 Location/Convenience 3 Location/Convenience 4 Location/Convenience 5 Location/Convenience 6 Online Forum Online Forum 1 Online Forum 2 Online Forum 3 Online Forum 4 Online Forum 5 Online Forum 6 Likability of Therapist Likability of Therapist 1 Likability of Therapist 2 Likability of Therapist 3 Likability of Therapist 4 Likability of Therapist 5 Likability of Therapist 6 Availability of Workshops Availability of Workshops 1 Availability of Workshops 2 Availability of Workshops 3 Availability of Workshops 4 Availability of Workshops 5 Availability of Workshops 6 Access to Webinars Access to Webinars 1 Access to Webinars 2 Access to Webinars 3 Access to Webinars 4 Access to Webinars 5 Access to Webinars 6 Recognized Credentials Recognized Credentials 1 Recognized Credentials 2 Recognized Credentials 3 Recognized Credentials 4 Recognized Credentials 5 Recognized Credentials 6 Availability of Hypnotherapy Availability of Hypnotherapy 1 Availability of Hypnotherapy 2 Availability of Hypnotherapy 3 Availability of Hypnotherapy 4 Availability of Hypnotherapy 5 Availability of Hypnotherapy 6 Overall Satisfaction Overall Satisfaction 1 Overall Satisfaction 2 Overall Satisfaction 3 Overall Satisfaction 4 Overall Satisfaction 5 Overall Satisfaction 6 Other (please specify) Question Title * 7. If you decided to seek therapy, how often would you see your therapist? Only once Once per week Every other week Once per month Every 6 months Every year Other (please specify) Question Title * 8. Would you be interested in trying a new therapist for self or relationship improvements? Yes No Question Title * 9. How much would you expect to pay for: Under $60 $60-79 $80-99 $100-119 $120-149 $150-180 Other Individual 50-minute session Individual 50-minute session Under $60 Individual 50-minute session $60-79 Individual 50-minute session $80-99 Individual 50-minute session $100-119 Individual 50-minute session $120-149 Individual 50-minute session $150-180 Individual 50-minute session Other Couple 50-minute session Couple 50-minute session Under $60 Couple 50-minute session $60-79 Couple 50-minute session $80-99 Couple 50-minute session $100-119 Couple 50-minute session $120-149 Couple 50-minute session $150-180 Couple 50-minute session Other Hypnotherapy 50-minute session Hypnotherapy 50-minute session Under $60 Hypnotherapy 50-minute session $60-79 Hypnotherapy 50-minute session $80-99 Hypnotherapy 50-minute session $100-119 Hypnotherapy 50-minute session $120-149 Hypnotherapy 50-minute session $150-180 Hypnotherapy 50-minute session Other Hypnotherapy 80-minute session Hypnotherapy 80-minute session Under $60 Hypnotherapy 80-minute session $60-79 Hypnotherapy 80-minute session $80-99 Hypnotherapy 80-minute session $100-119 Hypnotherapy 80-minute session $120-149 Hypnotherapy 80-minute session $150-180 Hypnotherapy 80-minute session Other Other (please specify) Question Title * 10. How much would you expect to pay for: Under $30 $30-49 $50-69 $70-89 $90-109 $110-130 Other 3-hour workshop per person 3-hour workshop per person Under $30 3-hour workshop per person $30-49 3-hour workshop per person $50-69 3-hour workshop per person $70-89 3-hour workshop per person $90-109 3-hour workshop per person $110-130 3-hour workshop per person Other Other (please specify) Question Title * 11. How much would you expect to pay for: Under $500 $500-699 $700-899 $900-1099 $1100-1300 Other A weekend retreat, accommodation and meals included, per person: A weekend retreat, accommodation and meals included, per person: Under $500 A weekend retreat, accommodation and meals included, per person: $500-699 A weekend retreat, accommodation and meals included, per person: $700-899 A weekend retreat, accommodation and meals included, per person: $900-1099 A weekend retreat, accommodation and meals included, per person: $1100-1300 A weekend retreat, accommodation and meals included, per person: Other Other (please specify) Question Title * 12. In what location would you expect to see a therapy practice?(check all that apply) Online Downtown Saskatoon East Side of Saskatoon West Side of Saskatoon Home-based Does not matter Other (please specify) The following questions are optional and will be used for statistical purposes only. Question Title * 13. How old are you? Younger than 18 18-25 26-35 36-45 46-55 56-65 65+ Question Title * 14. What is your marital status? Single Cohabiting Engaged Married Separated Divorced Widowed Other (please specify) Question Title * 15. Do you have children living at home? Yes No Question Title * 16. If yes, how many? 1 2 3 4 5 6 Other (please specify) Question Title * 17. What is your average annual household income? Under $35,000 $35,000-49,999 $50,000-74,999 $75,000-99,999 $100,000-149,999 $150,000-199,999 $200,000+ Question Title * 18. Are you interested in hearing from us when we open our online/in-person relationship therapy centre? Please leave your name and email address below! Name Email Address Done