Expanding access to wellness services in Veteran and 1st Responder Communities

This survey is being used to collect valuable information for a new nonprofit being formed to provide services to Veterans, 1st Responders & their families. Some questions may be sensitive in nature, but please be assured that all responses are completely anonymous. We are grateful for your time and will use these responses to better support the Veteran and 1st Responder community.

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* 1. Age range

Under 29

30-39

40-54

55-64

65-74

75-84

85+

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* 2. What is your affiliation with the military/1st responder community? (Check all that apply)

Veteran

Active Duty/Service Member/Guard

Law Enforcement Officer (or retired)

Firefighter (or retired)

Paramedic (or retired)

EMT (or retired)

Other (please specify)

None of the above

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* 3. Do you currently experience any of the following? (Check all that apply)

High Stress

Depression

Anxiety

Sleep disruption

General or specific chronic pain

Prefer not to answer

None of the above

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* 4. Have you ever been diagnosed with PTS(D) or a TBI? (Select one response)

PTS(D)

Traumatic Brain Injury (Mild to Severe)

Both PTS(D) and a TBI

Neither

I am not sure

Prefer not to answer

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* 5. To what degree has conventional medicines and therapies (talk therapy, cognitive behavior therapy, etc) alleviated your symptoms?

N/A

Made symptoms worse

No change in symptoms

Slight improvement in symptoms

Significant improvement in symptoms

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* 6. Have you tried yoga before?

Yes

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* 7. If you were to take a yoga class or try yoga for the 1st time, what would be important to you. Select all that apply.

Class for Veterans/1st Responders only

Used therapeutic and evidence-based protocols that help reduce stress and other symptoms

Adaptable/accessible for someone not flexible or with mobility concerns (no extreme poses)

Does not use Sanskrit (ancient language of South Asia) terms or chanting

Hosted at a fitness center, VFW, Amvets (or similar location) instead of a traditional yoga studio

Free of charge

Led by specialized instructors familiar with the scope of need in Veteran and 1st responder communities

Accessible for those who use prosthetics

None of the above

Other (please specify)

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* 8. How likely would you be to take a yoga class that met the conditions above?

Not likely at all

Somewhat more likely to try/ come to yoga

Significantly more likely to try/come to yoga

Would definitely try/come to a yoga class like this

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* 9. What is your zip code

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* 10. (Optional email) Our organization is working to bring accessible yoga for Veterans, 1st Responders and their families to locations around Massachusetts. If you would like to learn more/be contacted once these classes become available, please leave your email address.