Instructions: Please provide some general information about you. This information will NOT be linked to a name or email address, so is completely anonymous.
What is Your Gender?
Male Female No Answer
What is your Sexual Preference?
Gay Lesbian Straight Bisexual No Answer
Relationship Status
Single Married/Partnered Dating No Answer
What is your age? (enter 0 for No Answer)
City of Residence
State of Residence
Georgia Alabama Tennessee South Carolina North Carolina Florida OTHER
Postal Zip Code (5-Digit)
Instructions: Please indicate your level of interest in taking Classes in the following topics using a scale from 1 to 5 with 5 being Very Interested, 3 being Possibly Interested/Unsure and 1 being No Interest at all.
Traditional Tantra Yoga
5 4 3 2 1
Western Tantra Sacred Sexuality
Reiki Training
General Massage Classes (non-erotic)