ITS Survey

No More Stage Fright Survey

Your Privacy is Important

In The SpotLight is committed to maintaining your privacy. Any information submitted to In The SpotLight through this web site or otherwise is held in strictest confidence and is never given out to anyone for any reason. We do not sell or otherwise make available our mailing list. Read our complete Privacy Policy.

Please take a few moments to fill out this survey. Your responses are strictly confidential and will never be disclosed in any way that will identify you individually. Your responses will contribute to a growing body of knowledge on stage fright related to public speaking and performing. When you click "Send to Janet Esposito" at the bottom of the page, your survey results go by email to Janet. Janet's assistant, Mary, will email you a reply to acknowledge that Janet has received your survey. We thank you for taking the time to complete to this survey!

At what age did your problem with stage fright begin?

How many years have you had this problem?

Please describe the first experience of stage fright that you remember.

Please describe how your problem with stage fright has progressed over time.

What types of things have you been most afraid of related to speaking or performing?

Please describe any experiences where things went badly while speaking or performing in front of others.

Please describe your symptoms of stage fright. What goes on in your mind and body when you experience this fear?
BEFORE THE EVENT:

DURING THE EVENT:

AFTER THE EVENT:

How has this problem affected your life professionally or academically?

How has this problem affected your life personally, especially related to your self-image and self-esteem?

How have you tried to cope with this problem thus far and how successful have your efforts been?

What other products, services, and events would you like to see me develop to help you and others who suffer with this problem? Also include any locations in which you would like to see my workshop held.

Your age?

Sex Female Male

Enter your occupation in the space provided below.

Your highest educational level:

City and state of residence (for demographic purposes only):

You will be added to our email list to receive our monthly In The SpotLight newsletters and occasional announcements of things Janet is offering to help people with performance anxiety. Please indicate if you do not wish to be on this list. Please note that we keep your contact information in strict confidence within our organization and we do not sell or rent our email list.

Yes, put me on the list! (Don't forget to include at least your email below.)
No, do not put me on your mailing list now.

Are you interested in attending a No More Stage Fright Workshop or Refresher Course, or in having a private consultation or coaching session with Janet?

(Again, be sure to include your email address if you want us to contact you as we do our follow-up communications via email.)

If you want to be on the list for our monthly In The SpotLight newsletter, please be sure to provide your email address and as much of the following information as you wish. Please know that your information will be held in strict confidence and will never be shared with anyone outside of our organization.

Last Name
First name
Street Address
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

NOTE: YOUR EMAIL IS NOT REQUIRED FOR THE SURVEY, BUT WE CAN NOT ADD YOU TO THE LIST NOR CONFIRM RECEIPT OF YOUR SUEVEY IF YOU DO NOT INCLUDE A VALID EMAIL ADDRESS AS WE DO FOLLOW-UP COMMUNICATION BY EMAIL ONLY, UNLESS A SPECIFIC REQUEST IS MADE TO BE CONTACTED BY PHONE.

Any further ideas, questions or comments? Please let us know if you prefer to be contacted by phone rather than by email. Also, we'd like to know how you found our Performance Anxiety web site (which search engine or link, from a friend, other way?) and what key word did you use?

Thank you for your time and interest in completing this survey!