The Rusty Anvil Questionnaire
Please take the next few minutes to fill out this questionnaire. It will allow me to better understand how to support the communities I serve.
Email address *
What is your age? *
How do you identify? (Pronouns) *
Your answer
How do you identify? (Race/Ethnicity) *
Your answer
Do you have accessibility needs?
Your answer
What state are you located in? *
Your answer
What is your average monthly income? *
Your answer
What is your highest level of education? *
Your answer
What is your price range for ONE DAY workshops and gatherings? *
Your answer
What is your price range for MULTI-DAY workshops and gatherings? *
Your answer
What is your price range for MULTI-DAY backpacking and camping trips? *
Your answer
Do you live in an an area with access to large green space? *
How often do you spend your free time in outside? *
What is your favorite thing to do in nature? *
Your answer
What do your self-care practices look like?
Your answer
What barriers do you face when seeking support for your mental health? What could help you with those barriers?
Your answer
How involved are you in environmental/social justice issues? *
Which area of focus do you resonate most with? Please use "other" for answers not listed *
Required
What kind of community gatherings would you like to see more of in your county?
Your answer
What is your interest level in environmental education? *
What is your interest level in nature based skills? (camping, backpacking, tracking, fire birthing, shelter building, plant ID, etc, ) *
What is your interest level in mindfulness and meditation? *
What is your interest level in agriculture/farming and land stewardship? *
How far are you likely to travel to attend a gathering/workshop? *
What kind of barriers do you face when traveling?
Your answer
Preferred time of the WEEK & YEAR to attend workshops/gatherings? *
Your answer
What was your relationship to nature growing up? How does it compare to your relationship to nature currently? *
Your answer
What about your relationship to nature and the environmental field feels inaccessible? What resources do you need to change this? *
Your answer
Do you have interest in living within a cooperative land-based community? *
Your answer
Would you like to be added to The Rusty Anvil mailing list for monthly updates? *
Required
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