🌎 Your Voice is Your Community - Born Within™ Wellness Event Survey
Born Within™ presents a Heart-Forward Movement for Health, Joy & Unity. Bringing people, families and experiences together.
🌟 Section 1: Your Ideal Community Experience
If your dream event came to your neighborhood, what would it include?
Movement: Yoga, Tai Chi, Qigong, Ecstatic Dance
Sound: Live Music, Drum Circles, Sound Baths
Stillness: Meditation, Mindfulness, Silent Walks
Healing: Breathwork, Reiki, Energy Healing Circles
Nutrition: Plant-Based Tastings, Smoothies, Herbal Talks
Creativity: Painting, Poetry, Vision Board Sessions
Nature: Beach Cleanups, Gardening, Nature Walks
Family: Kids Play Zones, Theater Shows, Family Yoga
Education: Talks on Health, Indigenous Wisdom, Sustainability
Spirituality: Prayer Circles, Lunar Ceremonies, Intentional Gatherings
Marketplace: Local Vendors, Holistic Products, Farmers
Which of these emotions or needs are you most seeking from events?
Deep peace or grounding
Motivation and energy
Connection with like-hearted people
Better physical health
Inspiration and creative spark
Belonging to something greater
Healing from emotional pain
Family bonding time
Fun and laughter
What stops you from attending local events now?
I don’t hear about them in time
They feel too expensive
I don’t feel connected to the people
I don’t feel safe
Events don’t align with my interests or values
I have a busy schedule
I have kids and need family-friendly options
Transportation or accessibility challenges
Nothing – I love going to events!
What kind of space do you prefer for community gatherings?
Outdoors – Beach, Park, Garden
Indoor studio – Cozy and safe
Sacred/Spiritual space – Church, Temple, or Healing Center
Family centers or schools
Anywhere, as long as it feels inviting and welcoming
🌀 Section 2: Your Schedule & Location
What time(s) of day work best for events in your life?
Sunrise (6am–8am)
Morning (9am–12pm)
Afternoon (12pm–4pm)
Evening (5pm–8pm)
Night events (8pm and after)
Weekends only
Weekdays only
Varies – just keep me posted
What part of San Diego are you based in?
Neighborhood or ZIP Code
🌱 Section 3: Get Involved (Optional but Powerful)
Would you like to contribute your energy or skills to a future event?
Yes! I’d love to teach, perform, or lead something
I’d love to help behind the scenes (set-up, check-in, cleanup)
I can donate space, equipment, or refreshments
I’d like to be a vendor (food, art, services)
I can bring a group or organization
Maybe, tell me more
No thank you, just here to support and attend
What’s your passion, talent, or offering? (optional)
Anything else you’d like us to know, suggest, or dream into reality?
✨ Section 4: Stay Updated
Your Name
First Name
Last Name
Email
example@example.com
Your Mobile Number
Please enter a valid phone number.
Format: 000-000-0000.
Congratulations!
You are vital part of Born Within™ that will create safe events for the city of San Diego! The time is now and we are grateful for your contribution. See you soon!
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