Workshop Questionnaire

Please complete the questionnaire below before the workshop so we can better support and accommodate your needs during the event.

Name

First Name

Last Name

Age

Fitness Level

Select the option that most relates to you. This question is just to give us an idea of how to structure the workshop.

Have you ever taken a martial arts or self defense class?

If you have any injuries or mobility issues we should know about, please list them below.

Note: We cannot always accommodate all injuries and mobility levels, and we are not responsible for further injury. Please use your best judgement and opt out of any activities that are uncomfortable during the workshop.

f you have any concerns about the physical nature or discussion topics of the workshop, please liste them below.

Practicing Jiu-Jitsu, Thai boxing, mixed martial arts, and other martial arts, self-defense, and fitness activities are intense physical endeavors that involve physical contact and may include techniques intended to control or subdue an opponent. Sensitive topics related to assault, violence, sexual assault, and related trauma will be discussed during classes, seminars, and other events.