* 1. Name

* 2. Are you male or female?

* 3. What is your age?

* 4. What is the highest level of school you have completed or the highest degree you have received?

* 5. If you could learn anything from me, which topic would you choose? (Check all that apply.)

* 6. What do you like most about my blog and how can I make it better?

* 7. On a scale of 1-5 how do you like my podcast?

* 8. What do you like about my podcast and how can I make my podcast better?

* 9. If you could have me create one product that meets your needs right now, what would that be?

* 10. Any final thoughts for me?

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