Your Name: *


Your Email: *


Mailing Address:


Phone Number:


Interesting perspectives on topics covered in articles:
Excellent
Good
Fair
Needs Improvement

Helpful advice from columns:
Excellent
Good
Fair
Needs Improvement

Design, layout and photography of the magazine:
Excellent
Good
Fair
Needs Improvement

Information provided by advertisers:
Excellent
Good
Fair
Needs Improvement

Interest in monthly themes:
Excellent
Good
Fair
Needs Improvement

Calendar listings:
Excellent
Good
Fair
Needs Improvement

What topics would you like to see covered in upcoming issues? (Please be specific):


What is your favorite issue (please indicate month and year)?


Do you keep a magazine around your household for others to read?
Yes
No

Do you pass it along for family and friends to read?
Yes
No

How do you normally read Vision Magazine?
I am a subscriber
I read it on-line
I pick up a print version copy on my own
I read someone else’s magazine

Where do you normally pick up a copy of Vision Magazine (please indicate specific location and city)?


What do you like best about Vision Magazine print version?


What don’t you like about Vision Magazine print version?


We strive to create a print version of the magazine that is pleasing to the eye and easy to read. What specifically do you like about the way the print version of Vision is designed?


What don’t you like about the layout and design of the Vision magazine print version?


Other comments about Vision Magazine, print version:


What do you like about Vision Magazine online?


What don’t you like about Vision Magazine online?


We also wish to create an online presence that is appealing and easy to navigate. What specifically do you like about the way the online version of the magazine is designed?


What don’t you like about the way the online version of the magazine is designed?


Age range:
Under 20
20-35
36-55
56-70
70 and up

Gender:
Male
Female
Other

Income per year:
Under $25,000
$25,000-$50,000
$50,000-$75,000
$75,000-$150,000
Above $150,000

What do you do for a living?


Are you a home owner?


Education (Last Level Completed):
High School Diploma or GED
Some College
College Graduate (BA, BS)
Some Graduate School
Graduate Degree (MA)
Some Post-Doc
Post Doctorate Degree (PhD)

Number of people in household:
1
2-4
4-6
6+

Do you have children?
No
Yes, under 18
Yes, over 18

Do you use the services of Vision Magazine Advertisers?
No, I never use them.
Yes, I have one time
Yes, I do every once in a while
Yes, I do often
Yes, I do on a weekly basis

Are you in the alternative health care profession? If so, please explain:


Do you belong to a spiritual group?
Yes
No

If you answered yes to the above, please indicate which group:


How often do you:

See a live theatre show or opera
Once a year
Two to five times a year
Five to ten times a year
Over ten times a year
I never do this activity

Travel out of the country
Once a year
Two to five times a year
Five to ten times a year
Over ten times a year
I never do this activity

Travel within the country
Once a year
Two to five times a year
Five to ten times a year
Over ten times a year
I never do this activity

Go to a conference, retreat or speaking engagement for personal development
Once a year
Two to five times a year
Five to ten times a year
Over ten times a year
I never do this activity

See a holistic health practitioner
Once a year
Two to five times a year
Five to ten times a year
Over ten times a year
I never do this activity

Attend a yoga class
Once a year
Two to five times a year
Five to ten times a year
Over ten times a year
I never do this activity

Get a massage
Once a year
Two to five times a year
Five to ten times a year
Over ten times a year
I never do this activity

Go to a spa
Once a year
Two to five times a year
Five to ten times a year
Over ten times a year
I never do this activity

How many books do you read within one month?
0
1
2-4
Over 5

How many movies do you see within one month?
0
1
2-4
5-10
Over 10

Do you wish to be on the Vision Magazine mailing list?
Yes
No