DOTG

1

Have you ever participated in soul line dancing?

Yes

No

I've heard of it but never tried it.

2

How interested are you in soul line dancing?

Very interested

Somewhat interested

Not interested

3

Would you attend a soul line dance class if it were offered in your area?

Yes

Maybe

No

4

What days/times would work best for you? (Check all that apply)

Weekday mornings

Weekday afternoons

Weekday evenings

Saturdays

Sundays

5

What type of class would you prefer? (Check all that apply)

Beginner

Intermediate

All levels

Social/fun (less structured)

6

Where would you most likely attend class? (Check all that apply)

Community center

Dance studio

Workplace wellness program

Senior center

Other

7

What area of Pittsburgh would you most likely attend class?

East

North

West

South

8

How often would you like to participate?

Once a week

Twice a week

Occasionally (events/workshops only)

11

Would you like to receive information about upcoming classes or events?

Yes (please leave email/cell phone)

No

12

Email

example@example.com

13

Phone Number

Area Code

Phone Number