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Name
if you would like to be contacted
Your answer
email address and or phone #
again, if you would like to be contacted
Your answer
Which program have to decided to discontinue?
*
In order to improve, we need to know which program.
Little Grasshoppers
Juniors
Adults
BJJ
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What is your primary reason for leaving?
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Your answer
Did you try to solve this issue with Sensei Minter prior to leaving?
Yes
No
If yes, what was the result? If no, why not?
Your answer
What would you have liked the outcome to be?
Your answer
How could we have made the program better for you?
Your answer
What did you like about the program?
Your answer
Would you ever come back to our school?
Your answer
Would you recommend us to a friend?
Your answer
Anything else you would like to add?
Your answer
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