My Holistic Lifestyle wants to know

1. Email Address

2. Would you consider attending a teleseminar on these topics? Rate each item on a scale from 1 to 10 with 1= Absolutely Yes to 10=No way at all.

	1	2	3	4	5	6	7	8	9	10
Creating and maintaining a spiritual connection with God

Perfecting your purpose on this earth

Honest and healthy relationships

Create and nourish a strong purposeful support system

Cleansing the colon

Detoxing the body

Pay attention to your diet

Chewing food and drinking water

Move your body

Keep it all in balance

3. What time of day is best for you to attend a teleseminar? (Choose 2)

Early morning (before 9AM)

Midday (between 11AM and 1 PM)

Midafternoon (between 1PM and 3PM)

Evening (between 5PM and 7PM)

Night (after 8PM)

4. How long would you prefer for a teleseminar?

5. Which areas of health and wellness interest you? (Select 3)

6. Would you consider joining a group that focuses on your area of interest?

Yes, with a fixed program

Yes, with an open agenda

No (please explain)

7. Have you ever purchased health and wellness services such as Raindrop Therapy, Colonics or Massages?

Yes, less than 5 times

Yes, 5-10 times

Yes, more than 10 times

No

8. If yes, what price range have you paid (or would you pay) for such services, assuming you were looking to purchase them? (Price per session)

9. What is the most important piece of information you need regarding your health and the health of your family? What questions do you have that you need answers to concerning your health and the health of your family?

10. What have you found helpful in the newsletter (ezine) My Holistic Lifestyle Oasis? What would you like to see featured in the ezine?