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Please help Jessica by filling out this survey.

Your Name

Your Email (Required)

Organization/School: (If you have attended a live event)

In what state and/or country do you live?

How did you first hear about Jessica Cox?

Word of mouth

Email / PowerPoint

YouTube

Facebook

TV / radio

Live presentation

Other

What are the MOST inspiring things Jessica has done? (please pick 3 or less)

Feeding and dressing herself

Writing

Driving a car

Swimming

Surfing

Scuba Diving

Flying a plane

Getting married

Her faith

How inspiring are the videos about Jessica that you have seen? (1 - being low and 5 - being high)

I have not seen any videos.

Why do you feel that way about her videos or what emotions do they evoke in you? (optional)

Do you follow Jessica on any of these social media sites?

Facebook

Twitter

Google+

YouTube

None

How would you rate the live presentation by Jessica? (1 - being low and 5 - being high)

I have not seen a live presentation yet

What specifically did you gain from her presentation?

Select the stories you remember actually hearing during a live presentation?

Her parents\' reaction when she was born.

Looking at the sky from the elementary school playground.

Her first dance performance.

Learning to tie her shoelaces.

Deciding not to use prosthetic arms.

Getting her driver license.

Fueling up her car.

Moving a TV.

The struggles during flight training.

Figuring out how to buckle the seat belt in her airplane.

Meeting her future husband.

Meeting Luisa, an armless teacher in Ghana.

What story has stuck with you the most? (either live, through a video or any other means)

What quote has stuck with you the most? (either live, through a video or any other means)

What do you want to see or hear more of in a live presentation?

How would you describe Jessica and her message?

May Jessica use your answers for promotions and on her website?

Yes (we will contact you via email if Jessica decides to use your quote)

No thank you

Would you like to receive the Right Footed newsletter?

Yes

Just to make sure you are human, what is the sum of 5 and 5?

Jessica Cox Motivational Services

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Jessica Cox Motivational Services

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