Essencia Member Survey
We are delighted to have you as a member and would love to get to know you better in order to serve you better. No pressure to answer any of the questions below, but freely share with us would anything you think might be helpful for us to better accommodate yourself, your friends and family.

We are asking about your phone number in case we don't already have it and we need to communicate

Name
Your answer
Your Birthdate
MM
/
DD
/
YYYY
Phone Number
Your answer
Are you more comfortable with receiving
What brought you to Essencia for your practice? (choose all that apply)
What are the reasons that you continue to practice at Essencia?
Is there a time for practice that you would like to see added to the schedule?
Please Specify
Your answer
What style of class would you be most interested in taking at that time?
Have you ever taken part in any Essencia Workshops?
Our workshops are traditionally offered on weekends, last about two hours, and are discounted to monthly members. Is there a topic that you would like to explore? (Select all that interest you)
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