What is your gender?
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Gender-fluid
Non-binary
Man
Women
Other
How do you self-identify?
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American Indian or Alaska Native
Asian
Black or African American
AmeNative Hawaiian or Other Pacific Islander
White
Another Race
What is your zip code?
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Section 2: Physical Health
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Since attending 4Corners, have you noticed any physical health improvements? (Check all that apply)
Section 3: Mental Emotional Well-Being
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Since joining 4Corners, how has your stress level change?
Since joining 4Corners do you feel more emotionally balanced since practicing at 4 Corners Yoga Wellness?
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Since joining 4Corners, do you use mindfulness, breathing, or meditation techniques outside of class?
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Section 4: Connection & Community
Do you feel a sense of community or belonging at 4Corners? -
Have you made connections or friendships through 4Corners?
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Do you feel a sense of community or belonging at 4 Corners Yoga Wellness?
Would you be interested in more community events, wellness programs, and social gatherings?
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Section 5: Access & Inclusion
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Do you feel that 4Corners is accessible to you (financially, physically, culturally)?
What could we do to make our classes more welcoming and inclusive?
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Would you be willing to share a testimonial or personal story for our reports, website, or grants (with permission)?
If yes or maybe, please leave your name and email so we can follow up:
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Section 7: Feedback & Suggestions
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17. How satisfied are you with your overall experience at 4Corners?
What types of classes, workshops, or services would you like to see more of?
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What else would you like us to know about your experience with 4CYW.
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Email
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Name
*
Optional
First Name
Last Name
