Body Literacy Basics Survey
Your insights are incredibly valuable to us! We're eager to understand your specific needs and preferences, whether it's for a loved one or for yourself. Your feedback will help us tailor this program to better suit your expectations. Thank you for taking the time to share your thoughts with us!
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Email *
Please enter your first and last name: *
Please enter your teens first name:
(n/a if not applicable)
 *
Are you interested in Body Literacy Basics for your teen(s) girl or for yourself? *
Required
What is the age(s) of the individual(s) interested in signing up for the Body Literacy Basics class? *
As a parent, would you find it beneficial to attend the program with your teen? *
Required
What are you hoping to get out of this program for your teen girl or yourself? *
Our curriculum gently introduces the topic of sexual relationships and their physical and emotional consequences. Have you already talked to your teen girl about sex and intimate relationships? Please explain. *
Do you prefer a virtual or in-person class? *
Required
What days of the week are best for you or your teen if we were to host a virtual session? *
Required
What days of the week are best for you or your teen if we were to host an in-person session? *
Required
What time of day would work best for you and/or your teen if we were to do a virtual class? *
Required
Are the dates/times you listed above the same for the summer? If not, please explain. *
Any other questions or insights for us?
(write n/a if not applicable)
 *
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