* 2. What is your name?

* 3. What color is your current belt?

* 4. Attendance is important, all students must have at LEAST 21 classes on his/her attendance card. Do you have enough classes to promote?

* 5. How are you contributing to the Action community? (teaching kids, private lessons, encouraging other in class, etc.)

* 6. Think back to when you earned your Jr. Black Belt. Do you still feel the same way about your training at Action? Is it easier or harder?

* 7. What has been your biggest obstacle getting to your next belt?

* 8. How could we have helped you more in overcoming this obstacle?

* 9. In what ways has attending Action Karate helped you at school?

* 10. In what ways has attending Action Karate helped you at home?

* 11. In what ways can Action help you more at home or school?

* 12. List two ways you have changed – physically

* 13. List two ways you have changed - mentally.

* 14. Who has helped you the most at Action Karate?

* 15. Please rank on a scale of one to five (with five being the highest) the following:

  One Two Three Four Five N/A
Teaching Style
Fun Atmosphere
Ease of Learning
Quality of Classes
Cleanliness of Studio
Courtesy of Staff

* 16. Do you feel you are getting the help or attention you need with the Jr. Black Belt techniques and katas?

* 17. Do you continue to enjoy classes at Action? Please explain Yes or No.