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Self-Defense Survey
Please fill out this survey for a chance to win a $15 gift card to Chipotle
* Indicates required question
Email
*
Your email
What year are you?
*
First Year
Second Year
Third Year
Fourth Year
Fifth Year
Graduate Student
Other:
On a scale 1-5, how safe do you feel walking home at night?
*
Very Unsafe
1
2
3
4
5
Very Safe
On a scale of 1-10, how likely are you to take a self-defense course?
*
1
2
3
4
5
6
7
8
9
10
How long would an ideal self-defense course be?
*
1-2 Hours
3-4 Hours
8 Hours
Two 8 Hour Days
Weekly 3 Hour Meetings for a Month
Realistically, how much would you pay for a self-defense course?
*
$5
$10
$15
$20
$30
$40
$50
$60
$75
I would not
Do you feel there are self-defense courses tailored to your needs in the State College area?
*
Yes
No
If the answer to the previous question is no, why do you feel that way? (choose all that apply)
There are no current self-defense courses I am aware of in the State College area
The current self-defense courses are not offered for my gender
The current self-defense courses are too expensive
I do not feel comfortable at any of the current self-defense courses
I do not feel I will get anything from the current self-defense courses
Other:
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