Please answer any and all of the questions that pertain to you. You can write as much or as little as you like. Please try to make the answers meaningful, thought-provoking or funny as you are helping to inform and shape the minds of men who probably need a little direction. I really appreciate you taking the time and energy to answer these questions. (Fields that have an * beside them are required)
Thank you so much for completing this questionnaire. By doing so, you acknowledge and agree that you have no interest or right in any work that I may utilize for your survey answers, in whole or in part. You acknowledge that your words may be used in my works or publications in any media, including but not limited to the book, “Man on Top”. By participating in an interview or completing the questionnaire, you acknowledge and agree that I, Elana Millman will own all rights, title and interest in all works and publications that may arise from any and all interviews you participate in and questionnaires that you completed by, you, the participant.