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1. How interested are you in taking a self-defense class?

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2. What are your main reasons for wanting to take a self-defense class? (Select all that apply)

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3. What type of self-defense class would you prefer?

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4. How frequently would you be able to attend a self-defense class?

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5. What time of day would be most convenient for you to attend a self-defense class?

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6. What is your age group?

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