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Are you male or female?
   
 
 
 
How old are you?
   
 
 
 
Has anyone ever made you feel unsafe?
 
Yes
 
No
 
 
 
What would you do if someone you did not know was bothering you?
   
 
 
 
Have you ever found yourself in a potentially dangerous confrontation? If so how did you respond?
   
 
 
 
How would you get out of a potentially dangerous situation?
   
 
 
 
Do you think teenagers should know self-defense?
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
Have you ever expressed an interest in learning self-defense?
 
Yes
 
No
 
 
 
Have you ever taken any self-defense training?
 
Yes
 
No
 
 
 
What form of self-defense would you find most useful?
   
 
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