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Ageless MoBility Wellness Experience
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1.
What is your name?
(Required.)
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2.
Gender
(Required.)
Female
Male
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3.
What is your age?
(Required.)
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4.
What city/state do you live in?
(Required.)
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5.
If you’re in Atlanta, GA, what neighborhood of Atlanta do you live in? Put “NA” if not in Atlanta.
(Required.)
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6.
What best describes your profession?
(Required.)
Healthcare worker
Corporate professional
Teacher
Entrepreneur
Student
Stay-At-Home Parent
Retired
Other (please specify)
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7.
How active are you?
(Required.)
Daily
3-5x/week
1-2x/week
Rarely
Other (please specify)
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8.
What wellness activities do you currently engage in?
(Required.)
Stretch class
Yoga
Pilates (reformer/mat)
Physical Therapy
Soundbath
Massage
Chiropractor
Gym
Meditation
None, stretching will get me more mobile
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9.
What frustrates you most about these experiences?
(Required.)
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10.
What do you feel is missing for you at most yoga or workout classes in general that you are looking for?
(Required.)
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11.
If someone could solve ONE wellness problem for you, what would it be?
(Required.)
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12.
What day of the week would you be most likely to take a stretch class? (PICK 2 DAYS)
(Required.)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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13.
What TIME of day would you be most likely to take a weekly stretch class? (PICK 2 TIMES)
(Required.)
8am (weekend)
9am (weekend)
10am (weekend)
10:30am (weekend)
6:30pm (weekday)
7pm (weekday)
Other (please specify)
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14.
What is your goal with coming to stretch classes?
(Required.)
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15.
What would make you consistent in taking stretch classes?
(Required.)
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16.
What (if any) are your current injuries?
(Required.)
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17.
How much are you willing to pay for a stretch-focused event weekly?
Event would include:
Stretch class + journaling and health/wellness special guest on a new weekly topic
(Required.)
$20
$30
$40
$50
$60+ for a luxury experience
Other (please specify)
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18.
How much are you willing to pay for an international wellness retreat?
(Required.)
$2k
$3k
$4k
$5k+ for luxury experience (5 star hotel, aesthetic yoga views, farm to table food)
Other (please specify)
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19.
Would you be interested in attending a domestic "wellness retreat" with similar activities to international, but for a shorter weekend get away?
(Required.)
Yes
No
Other (please specify)
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20.
What wellness brands or experiences do you currently love and admire most? (Examples: CorePower Yoga, Exquinox, Erewhon, Nike Run Club, Headspace, Soho House, CIVANA Wellness Resort)
(Required.)
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21.
What do you love most about that brand?
(Required.)
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22.
What is your biggest reason for investing in your health and wellness today? (Choose your top 3)
(Required.)
I want to stay active as I get older
I want to prevent pain and injuries
I want more energy in my daily life
I want to reduce stress and feel calmer
I want to be healthy for my family
I want to maintain my independence as I age
I want to feel stronger and more capable
I want to look and feel as young as I can
I want to prevent future health issues
Other (please specify)
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23.
WHO is 1 person that inspires how you want to age, and what qualities do you admire most in that person?
(Required.)
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24.
What is your email?
(Required.)
25.
What do you want to see more of from Ageless MoBility either on social or in the classes/retreats?