My Potential

Section 1

1.1 On a scale of 1 to 7, 1 being very little and 7 being very much, please indicate your level of interest in the following: *

	1	2	3	4	5	6	7
Concern about the Environment (e.g. recycling, water pollution, rainforests)
Health Care issues (e.g. Providing health care to all)
Alternative Health Care (e.g. Willingness to use homeopathic remedies)
Equal Opportunity issues (e.g. Wanting equality for women or minorities)
Spirituality as a central part of your life
Self-Development as a part of your life (Psychological, physical, etc.)

1.2 Do you regularly/ at least 3 times a week:
(Check all that apply)

Exercise	Read books
Practice yoga	Meditate
Go to movies	None of the above

1.3 What type of publication do you read most often? *
(Choose one)

Business
Spirituality
Consumer Publication
Entertainment
News
Health
Fashion
Home/ Garden
Computer
Other

1.4 How many hours a week do you use the Internet (for purposes which are NOT work related)? : *

Less than one hour	1-3 hours
3-5 hours	5-7 hours
7-9 hours	over 9 hours

1.5 Which Internet search engine do you usually use? *
(choose one)

Yahoo	AltaVista
Lycos	Hotbot
Northern Lights	AOL
Netscape	Google
WebCrawler	Other

1.6 Which of the following do you use the Internet for
(check all that apply)

E-mail	Purchase self-development audiotapes
Search for information	Research alternative health care
Learn about fitness and health	Trade Stocks
Shop for health products such as vitamins and supplements	Explore personal development
Purchase self-development books	Purchase self-development videotapes
See an on-line seminar or lecture	Explore spiritual development
Get career advice	Participate in chat rooms
Other

1.7 How likely would you be to use the Internet to find information on the following? *
(Check one in each category)

	Definitely would	Probably would	Might or might not	Probably would not	Definitely would not
Career Development
Spirituality
Research on Alternative Health
Relationships

1.8 Which of the following have you ever done?
(Check all that apply)

Attended a seminar on spirituality
Attended a seminar on success
Attended a seminar on health
Attended a seminar on relationships
Purchased Vitamins/Herbal supplements
Purchased Self-Development products (books, audiotapes, videotapes, etc.)
None of the above

1.9 Please indicate the likelihood that you would try the following, from 1 (very unlikely) to 7 (very likely): *

	1	2	3	4	5	6	7
participate in an on-line seminar on spirituality
Watch an on-line seminar on success
Watch an on-line seminar on health
Watch an on-line seminar on relationships
Purchase Self-Development products on-line (books, audiotapes, videotapes, etc.)
Purchase Vitamins/Herbal supplements on-line

1.10 On a scale of 1 to 7, how familiar are you with the following personalities, with 1 being very little and 7 being very much? *

	1	2	3	4	5	6	7
Margot Anand
Deepak Chopra
Laura Day
Uri Geller
David Simon
Robert Thurman

1.11 How did you first hear of Deepak Chopra? *
(Check only one)

Read one of his books
Read about him in a magazine
I have never heard of Deepak Chopra
Found him or the Chopra Center on the Internet
Saw him on television
Heard of the Chopra Center for Well Being
Visited the Chopra Center for Well Being
Referred by someone else to his books/ Chopra Center for Well Being
Can't remember
Other

1.12 What prompted your interest in Deepak Chopra? *
(Check one only)

Life crisis (divorce, death, illness, job change)
Interest in learning more about his work
Saw the benefits of Deepak's work on someone else
Interest in meditation
Interest in spirituality
Other

1.13 If Deepak Chopra were to have a web site that offered certain products and services, which products and services would you expect to find on such a web site?
(Check all that apply)

Books
Videotapes distributed by the Chopra Center
Vitamins/herbal supplements
Mind/body quizzes and evaluations
On-line seminars
Links to other, similar, web pages
Audiotapes distributed by the Chopra Center

1.14 If Deepak Chopra were to have a web site that offered those products and services mentioned in Question 1.13 (books, tapes, seminars etc.), in conjunction with the personalities named in question 1.10 (Margot Anand, David Simon, etc.), how likely would you be to buy any product from that site? *

Definitely would buy
Probably would buy
Might or might not buy
Probably would not buy
Definitely would not buy

1.15 On a scale of 1 to 5, 1 being very little and 5 being very much, how well does the web site described above match your perception of Deepak Chopra: *

1 2 3 4 5

1.16 On a scale of 1 to 7, 1 being very unwilling and 7 being very willing, how willing would you be to pay $99 for a 30 minute on-line seminar, on a subject of interest to you, taught by Deepak Chopra.

1 2 3 4 5 6 7

1.17 On a scale of 1 to 7, 1 being very unwilling and 7 being very willing, how willing would you be to pay $49 for a 30 minute on-line seminar, on a subject of interest to you, taught by Deepak Chopra.

1 2 3 4 5 6 7

1.18 On a scale of 1 to 7, 1 being very unwilling and 7 being very willing, how willing would you be to pay $19 for a 30 minute on-line seminar, on a subject of interest to you, taught by Deepak Chopra.

1 2 3 4 5 6 7

The following questions are for demographic purposes only. Your responses are completely confidential. Thank you.

2.1 How old are you?

Under 18	18-24
25-34	35-44
45-54	55-64
65-74	Over 74

2.2 What is your gender?

Female

Male

2.3 Marital Status:

Married

Single

2.4 Which of the following best describes your total household income?

< $30,000
$30,000-$39,999
$40,000-$49,999
$50,000-$59,999
$60,000-$74,999
$75,000-$99,999
$100,000+

2.5 Please indicate the highest level of education that you have completed. (Check one):

Some high school
High school graduate
Some college
College Graduate
Graduate Degree

Thank you for your time and participation.

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