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
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
General Massage Classes (non-erotic)