Your Name:
email address:
Do you get email from Barefoot?
How did you learn about us?
How long have you been practicing yoga at Barefoot?
Are you a local resident?
If not, you may want to skip the general class questions, but please still tell us about your workshop preferences.

Instructions: In each section below please select your top 2 choices from the group.

Class times: Which are you most likely to attend?
Early morning
Mid-morning
Lunchtime
Mid-afternoon
Late afternoon
Evening
I would be likely to attend classes at various times.
Other preference:

Billing: What is your preferred method of payment?
On-line
Debit
Credit card
Check
Cash
Automatic Draft

Class levels: Which class would you most likely attend?
Six Week Intro Course
Level 1
Level 2
Level 3
Level 4
All Levels
I would be likely to attend various levels of classes

Workshops offered by outside teachers:
Whom would you come to study with at Barefoot Studio?
Eric Schiffmann
Doug Keller
Shiva Rea
Robert Svoboda
Peter Sterios
Hakomi training for yoga teachers
Rod Stryker
Tias Little
Jill Satterfield
Stephen Cope
Todd Norian
John Friend
Mukunda Stiles
Ana Forrest
Feel free to add your own ideas:

Special events: What special events would you most likely attend?
Ayurvedic Cooking Class
Drumming
Poetry reading
Trance dance
Pot luck with formal discussion
Pot luck without formal discussion
Monthly book club
Discussion on Bhagavad Gita
Discussion on Yoga Sutras
Feel free to add your own ideas:

Special events: Are you interested in attending a 3-hour workshop on:
Backbends
Feet
Standing poses
Yoga for back care
The art of inversion
The language of yoga
Yoga Nidra: Rejuvenative Meditation
Yoga for persons with scoliosis
Lymphatic yoga
Yoga for persons with multiple sclerosis
Yoga for persons with chronic health problems
Feel free to add your own ideas:

Retail: Would you like to have yoga products to buy at the studio?:
Books
Mats
Yoga Blankets
Straps
Blocks
Bolsters
Yoga Jewelry
Clothes
Audio CDs
Audio DVDs
Video DVDs
VHS Videos
Incense
Teas
Herbal Tinctures
Oils
Feel free to add your own ideas:

What other activities or events would you like Barefoot to consider sponsoring?
How can Barefoot be more helpful in your personal/physical development?
What would you like to see that would improve your experience at Barefoot?





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