What is your name?

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* 2. What is your name?

What color is your current belt?

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* 3. What color is your current belt?

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

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

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

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

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?

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* 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?

What has been your biggest obstacle getting to your next belt?

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

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

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

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

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

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

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

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

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

List two ways you have changed – physically

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* 12. List two ways you have changed – physically

List two ways you have changed - mentally.

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

Who has helped you the most at Action Karate?

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

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

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* 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
Drills
Ease of Learning
Quality of Classes
Cleanliness of Studio
Courtesy of Staff
Do you feel you are getting the help or attention you need with the Jr. Black Belt techniques and katas?

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

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

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

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