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* 1. Thanks a zillion for taking the survey! If you don't mind please give me your name and e-mail address, it will really help me stay organized.

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* 2. I am interested in (please choose all that apply):

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* 3. I would like to learn the following types of dances (please choose all that apply):

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* 4. The dates and times that will work for me are (please choose all that apply):

  10am 12pm 2pm 6pm 7pm 8pm 9pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

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* 5. I'm thinking that the lessons will be $15.00 each, or $10.00 each if you pay for the whole month ($40.00 total). What do you think?

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* 6. What are you hoping to gain out of this experience (please choose all that apply):

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* 7. What could I do to make this the absolute best experience that it could be for you?

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