|
Your Name: [required]
|
|
|
Your Email Address: [required in order to contact you if you win our sweepstakes]
|
|
|
|
Note: Your email address and information you submit through this form is completely confidential and will never be sold or shared with anyone.
|
|
Your Address: [optional] [in case you win our sweepstakes, to which address would you like us to send the prize? -- you’ll be contacted by email regardless]
|
|
|
How did you hear about Spa Review Magazine? [optional]
|
|
|
My gender:
|
|
|
Age Group:
|
|
|
Annual Household Income:
|
|
|
Approximately how often do you visit a spa annually? This includes day spas, resort spas, cruise ship spas, hotel spas, cruise ship spas, destination spas, etc.
|
|
|
What treatments do you choose when visiting spas (check all that apply)?
|
Massage
Facial
Skincare
Anti-Aging
Wraps
Weight/inches loss
|
Anti-stress
Medical (cosmetic surgery, dermatology, other)
Men's packages
Teen's packages
Salon services
|
|
Which sections of Worldwide Spa Review do you read (check all that apply - to select multiple choices hold down the control “CTRL” key and click on options):
|
|
|
Do you exercise regularly?
|
|
|
When and if you exercise, which of the following do you do (select all that applies - o select multiple choices hold down the control “CTRL” key and click on options):
|
|
|
What additions or changes would you like to see in Worldwide Spa Review? (Or Your Feedback/Comments)
|
|
|
Mailing List: [Do not check if already signed up]
|
YES
|
|