Event Questionnaire
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Email *
Full Name *
What is your job title/occupation? *
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Work Contact Information: *
Mobile Number (Optional)
Demographic Information

Who is this for? (Check all that apply.)

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What are the "pain points" or challenges that you want to overcome, mitigate, or provide a solution for with this booking?  (Check all that apply.) 

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What is the age group of the participants? (Check all that apply.) *
Required
If you selected "Other" for the Special Populations checkbox, please elaborate here:
What is your location (City/State) for the event/programming? *

Vision for the Booking:

Are you looking for: (Check all that apply.)

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Are you looking for: (Check all that apply.)

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What yoga props/equipment might you require: (Check all that apply.)

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How long do you envision our portion? 

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Location for the event/booking:

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What is your desired frequency?

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How many people are you looking for us to serve?

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What day/s of the week would you like us to come out? (Check all that apply.)

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What is your budget? (A 50% deposit to retain services is required upon signing the work agreement. The balance is due at the end of the session/event.)

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What styles of yoga or wellness practices do you desire? (check all that apply.)

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What styles of consulting/coaching do you desire? (check all that apply.)

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Is there any specific detail that you want me to know that was not featured on this intake form? 

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Personal Preference Survey

How would you rate your current knowledge and proficiency in wellness practices?

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Awful
Mastered it

What is your preferred personal training preference?

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What are your primary health and wellness goals for the next 12 months? (Check all that apply.)

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How important is being part of a wellness/yoga community to you?

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Not important
Very Important

What do you seek from a professional yoga or wellness community? (Check all that apply.)

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What types of resources (e.g., workshops, articles, webinars) do you find most valuable for consistent learning and practice? (Check all that apply.)

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How do you currently seek and consume content related to yoga and wellness? 

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What could enhance your engagement and satisfaction with a yoga and wellness training program?

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How do you prefer to be informed about upcoming trainings, workshops, and opportunities?

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Additional Comments

Is there anything else you'd like to share with regard to your desired need for programming as it relates to yoga, coaching, consulting, or otherwise?  

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Thank you for your time and interest! 
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