This survey is created so you can get in touch with others who are open to connecting with you after one of our Free Online Relationship Workshops. You can see our upcoming workshop details at https://chemistryinmotion.eventbrite.com

All your answers and info are confidential unless you specifically select otherwise.

Also, we'd like your feedback about anything you'd like to share.

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* 1. What is your first name?

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* 2. What is your last name? (optional, but useful for interaction)

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* 3. What name do you prefer to be called if not your first name?

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* 4. Have you participated in our Free Online Relationships Workshop? You can participate in more than one if you like. :)

If not yet, please do come back and do the survey again after you've participated. Then you can respond to items that aren't currently relevant.

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* 5. If so, is there someone you would like to follow up with?

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* 6. If you'd like to follow up with someone, let us know their name or other way to ascertain who it is. We'll give them your info as chosen below if they are open to that so they can get in touch.

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* 7. Ways to contact you. Please supply contact info for all that are ok. The next question will be about permission. Regarding Facebook, remember that if you aren't Facebook Friends, this may not be a good choice due to messaging restrictions.

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* 8. If someone wants to connect with you, can we give them your info, do you prefer just to get theirs, or do you prefer not to hear?

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* 9. Which form of contact do you prefer for us to follow up with you or for people to contact you in the event that you selected OK to give them your info? This will also help us know the best way to reach you for any other reason.

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* 10. If you prefer we don't reach out to you as well, regarding upcoming events or questions, please advise.

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* 11. We'd love to hear your feedback, including anything that could be better about what we offer and how we operate. This info is confidential.

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* 12. Do you have comments that we can convey to others in promotional efforts so they get a feel for how they may benefit?

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* 13. If you do have a quote, what can we share about your experience?

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* 14. Have you joined yet in our Facebook Group called Free Online Relationship Workshop Community? It a great way to keep informed, in touch, and as another way to build community. You can join it here: https://www.facebook.com/groups/238023737333369/

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* 15. Thanks for completing this survey to help build community and empower new connections, should you have that interest as well. If you have any feedback about the survey, here's a good place for it. Enjoy life to the fullest, each day, each moment, embracing the gift.

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