Age range – under 20_____21 – 35_____36 – 54_____55 & up_____
How did you find out about the center?
Friend/ family_____Flyer_____Newspaper article_____Google search_____
How long have you been attending classes?
1 week or less_____1 month_____6 months_____1 year_____1 + years_____
Approximately how many yoga classes do you attend weekly?
1____ 2_____ 3_____ 4____ 5+_____
What types of classes do you attend?
Restorative ____ Therapeutic____Yin____Gentle____ Core____Vinyasa flow____Hot Flow_____Ashtanga_____Meditation_____
What other offerings would you like to see at Asheville Community Yoga?
More Hour long classes_____Partner Yoga____Meditation____Parent/ Child Yoga_____(age of children_____)Children’s Yoga_____(age of children_______)Tai Chi_____Qi Gong_____ Student immersions_____Teacher Trainings____Low Cost Childcare during workshops/classes_____
Support Groups: Men’s_____Women’s_____Wise Elder_____Couples (Deepening your connection)_____ Parenting_____ (age of children______)Recovery_____Grief_____Body Image/Weight_____
Monthly pot lucks_____ Monthly family movie nights_____Solstice Gatherings_____ Holiday Celebrations_____Music gatherings_____Healthy Eating/Cooking_____
What are the best days/times for you to participate?
Mon 7-8am____8-9____9-10____10-11____11-12____12-1pm____1-3____3-5____5-6____6-8____8-9:30____
Tues 7-8am____8-9____9-10____10-11____11-12____12-1pm____1-3____3-5____5-6____6-8____8-9:30____
Wed 7-8am____8-9____9-10____10-11____11-12____12-1pm____1-3____3-5____5-6____6-8____8-9:30____
Thurs 7-8am____8-9____9-10____10-11____11-12____12-1pm____1-3____3-5____5-6____6-8____8-9:30____
Fri 7-8am____8-9____9-10____10-11____11-12____12-1pm____1-3____3-5____5-6____6-8____8-9:30____
Sat 7-8am____8-9____9-10____10-11____11-12____12-1pm____1-3____3-5____5-6____6-8____8-9:30____
Sun 7-8am____8-9____9-10____10-11____11-12____12-1pm____1-3____3-5____5-6____6-8____8-9:30____
For men only: Best days & times for Men’s Yoga?_________________________________________________________
How often do you visit our Facebook Page?
Monthly____ Weekly____ Daily____ Occasionally___ Never____
How often do you visit the website?
Monthly_____Weekly_____Daily_____Occasionally_____Never_____
How often do you read the weekly/monthly newsletters?
Monthly_____Weekly_____Occasionally_____Never_____
Do you have any special talents or skills that you would be willing to share with the community?
Are you willing to donate your professional services to raise money for the center? Yes___No___ Type of service?__________
If yes to the above questions please leave contact information :
Name______________________________ Email_________________________________Phone______-_______-_________
Do you have any suggestions you would like to share to improve the center?__________________________________________________________________________________________________
________________________________________________________________________________________________________
Do you have a personal connection with someone in the community who you believe would like to donate to your Non-Profit center? If so, would you be willing to talk with them about making a contribution? Yes___No___ The center can provide a tax deduction receipt for all contributions. Any & all contributions are Greatly Appreciated & will help the sustainability of your Community Yoga Center.
With Love & Service
Namaste