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Tai Chi Challenge Baseline Survey 2026

Your health is important to you and to us. Before we begin please fill in this intake assessment. You will compare how you are feeling now to how you will feel after practicing for thirty days. 

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Question 1 of 9

Please write your name:

Question 2 of 9

What is your age group?

A

18-30

B

31-40

C

41-50

D

51-60

E

61-70

F

71+

Question 3 of 9

What is your gender?

A

Female

B

Male

C

Nonbinary

D

Prefer not to disclose

Question 4 of 9

***From the list choose what resonates with you the most. You can choose more than one answer.

(Select all that apply)
A

SLEEP Tai Chi can lead to improved sleep and deeper rest.

B

STRESS The anxiety that plagues our society is not natural, this ancient practice is key to stress release.

C

MIND EXPANSION Diminish your stress level and your mind can focus on what really matters. You will find new ideas and solutions flowing easily as you practice.

D

BACK PAIN Tai Chi gradually releases years of tension and frees energy circulation to heal your back.

E

STAYING YOUNGER Tai Chi daily practice strengthens muscles, improves memory and reduces the risk of falling as you get older.

F

STRENGTH AND ENDURANCE Tai Chi builds your muscles and after only weeks your strength and endurance can noticeably improve.

Question 5 of 9

Explain the reason why you have decided to cultivate a daily Tai Chi practice

Question 6 of 9

If there was one thing you could change in your life, what would it be?

Question 7 of 9

How long have you been practicing Tai Chi? Choose the  best answer.

A

I have never practiced Tai Chi

B

One week

C

Only once or twice a long time ago

D

A few weeks

E

A few months

F

One year

G

Many years

H

I am a Tai Chi instructor

Question 8 of 9

How did you hear about this challenge?

A

I am a Taiflow member

B

Website

C

I am interested in Tai Chi and found this on the internet

D

Word of mouth

Question 9 of 9

What courses have you followed with Leia?

(Select all that apply)
A

Tai Chi 5 Minutes a Day on Youtube

B

Silver Membership on Taiflow

C

Silver Plus Membership on Taiflow

D

Gold Membership on Taiflow

E

Gold Plus Membership on Taiflow

F

Platinum Membership on Taiflow

G

Platinum Plus Membership on Taiflow

H

Qigong through the Seasons

I

Fit and Flexible: Stretching Exercises to Extend Your Life

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