CMD Personal Focus Profile
Thank you for your interest in the Crazy Monkey Defense Program at KDT Academy. This questionnaire is to help us match our services with your needs.
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First Name
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Last Name
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Email
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Mobile Phone:
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Your Age
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I am registering for the CMD Intro class this coming Saturday at 3pm (in March, June, September & December). I understand and agree that after the Intro Class I will be provided with information on the training schedule, subscription fees and other costs. KDT Academy will not provide this information until all participants have taken the Free Intro Class.
Yes
No
What are your top 3 reasons for joining KDT Academy's CMD program?
My reasons are:
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2.
3.
What are your current motivations and needs for joining KDT Academy, attending the CMD classes and Personal Training Sessions with us?
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Please choose the best answer for each of the following.
Extremely Important
Very Important
Sometimes Important
Unsure
Not Important
I really need to manage my stress levels
I need to learn how to defend myself
I need to manage and lose weight
I need to get in shape and build strength
I want to learn how to take the lessons from the classes into my daily life and career. I want to know how to perform at my best in these areas of my life
I just want to learn a martial art that's fun
I want to develop a mental focus and to understand how to use my mind to improve all areas of my life
I enjoy challenging myself and this seems like an excellent way to do it
I really want to learn something about myself (self-actualization)
Additional reasons not listed above, please describe them here
Fitness
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Choose the best answer for each of the following.
Extremely Important
Very Important
Sometimes Important
Unsure
Not Important
Rate how important your personal fitness is to you. This includes getting fitter, improving your strength, losing weight and other fitness-related benefits
Self Defense
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Choose the best answer for each of the following.
Extremely Important
Very Important
Sometime Important
Unsure
Not Important
Rate how important learning how to defend yourself is
Mental Game
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Check the Mental Game aspects that are the most important to you:
Improving your focus
Self-defense
Being able to push yourself to new limits
The ability to step out of your comfort zone
Other
Motivation
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Check the Mental Game aspects that are the most important to you:
The Trainer
Learning Martial Arts
Your Personal goals
Seeing your martial arts skills improve
Working towards levels and being recognized for them
Having fun
A positive relationship with your fellow team mates
Other
What do you feel will make it hard for you to attend classes or personal training sessions with us?
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Check the Mental Game aspects that are the most important to you:
Your work schedule
Tired from a day of work or school
Knowing that it's going to be a hard sparring session
Sparring
Traffic jams
Other
Which of the following would help you become MORE MOTIVATED to attend classes or personal training sessions with us?
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Check the class formats that you would like the most:
Different types of classes - sometimes boxing, sometimes self defense and other times just fitness (in other words if we mixed the classes up and not use the same format every session)
Weekly motivational SMS, Email, regular member's only Blog posts and newsletter with handy tips, books and website recommendations.
A monthly class social where you can get to know your team mates better
Would it help to have a class topic posted at the beginning of each month?
Would you prefer to choose the class topic for the week?
Other
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