1. Have you taken a class with us in the past six months? Yes No

2. Are there any classes you would like to suggest we add in the future?

3. Would you prefer student classes be available at a different time, and if so, when?

4. Would you prefer student classes be offered in a different location, and if so, where?

5. Are you, or would you be interested in arranging a private instruction for a group or class? Yes No

6. Would you or someone you know be interested in teaching a class in the future? Yes No

7. For classification purposes only, are you: Freshman Sophomore Junior Senior Faculty Staff Other

8. Do you have any additional comments, concerns or questions?

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