Home-based program survey: possible outcomes and types of support

What kind of support would you like?

This brief survey (five questions) allows you to provide feedback on what kind of support you would like in connecting with nature. Thank you for sharing your thoughts!

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* 1. What motivates or inspires you to connect with nature?

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* 2. Which of the following potential outcomes from this home-based program are you most interested in? (Choose up to four.)

Physical health benefits like reduced stress, better sleep, lower blood pressure, improved immune function

Mental health benefits like reduced anxiety and depression and more positive emotions

Better brain function, focus, and clearer thinking

More mindfulness and presence

Access to natural creativity

Deeper connection with your authentic self, your true purpose, and inner guidance

Deeper connection and communication with wild places and more-than-human beings

Accessing guidance from nature

Direct communion with the sacred, deepening your spiritual life

Other (please specify)

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* 3. Rate your level of interest in each of the following aspects of this program:

	None	Little	Moderate	Strong	Very strong
Learning small but meaningful ways to connect with the Earth in daily life.	Learning small but meaningful ways to connect with the Earth in daily life. None	Learning small but meaningful ways to connect with the Earth in daily life. Little	Learning small but meaningful ways to connect with the Earth in daily life. Moderate	Learning small but meaningful ways to connect with the Earth in daily life. Strong	Learning small but meaningful ways to connect with the Earth in daily life. Very strong
Learning how to cultivate a deeper, more healing connection with nature.	Learning how to cultivate a deeper, more healing connection with nature. None	Learning how to cultivate a deeper, more healing connection with nature. Little	Learning how to cultivate a deeper, more healing connection with nature. Moderate	Learning how to cultivate a deeper, more healing connection with nature. Strong	Learning how to cultivate a deeper, more healing connection with nature. Very strong
Having a personal nature connection journal with questions to help you reflect and integrate.	Having a personal nature connection journal with questions to help you reflect and integrate. None	Having a personal nature connection journal with questions to help you reflect and integrate. Little	Having a personal nature connection journal with questions to help you reflect and integrate. Moderate	Having a personal nature connection journal with questions to help you reflect and integrate. Strong	Having a personal nature connection journal with questions to help you reflect and integrate. Very strong

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* 4. Would you prefer a four-week program, or a six-week program that costs a bit more but gives you more tools and insights?

Four-week program

Six-week program

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* 5. Do you have any other comments or questions about this program?

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* 6. Please enter your name and email address.

Name

Email Address