Healing Arts Interest Survey
Help us understand your interests and experience in various healing arts modalities.
Your Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Which age group do you belong to?
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
How familiar are you with the following healing arts modalities?
*
Rows
Not Familiar
Somewhat Familiar
Very Familiar
Reiki
1
2
3
Massage Therapy
4
5
6
Aromatherapy
7
8
9
Meditation
10
11
12
Sound Healing
13
14
15
Yoga
16
17
18
Acupuncture
19
20
21
Reflexology
22
23
24
Which healing arts modalities are you most interested in exploring further? (Select all that apply)
*
Reiki
Massage Therapy
Aromatherapy
Meditation
Sound Healing
Yoga
Acupuncture
Reflexology
Other
How likely are you to participate in a healing arts workshop or class in the next 6 months?
*
Not at all likely
1
2
3
4
Extremely likely
5
1 is Not at all likely, 5 is Extremely likely
Please rate your overall interest in learning more about healing arts.
*
1
2
3
4
5
Have you previously participated in any healing arts sessions, workshops, or classes?
*
Yes
No
What is your preferred format for learning about healing arts?
*
In-person group classes
Online workshops
One-on-one sessions
Self-paced online courses
Other
What days and times are you generally available to participate in healing arts activities?
Please share any additional comments, interests, or suggestions regarding healing arts.
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