Fancy seeing you here! If you could just take a few moments to answer some questions, it would be a great help to us.

We keep all this information confidential, but having it helps us provide the best possible service to you.

The whole survey should only take around 1-2 min to complete.

Click the "Next →" to get started...

What's your first name?

Your phone number? *

And your email? *

How old are you? Please share your age in the box below, as well as anyone else you're completing the form for.

How would you rate your current activity level?

Little or no exercise

Lightly active (easy to talk through exercise, 1-3 days per week)

Moderately active (sweaty activity, 3-5 days per week)

Very active (very sweaty activity, 5-7 days per week)

What are your current goals in regards to training jiu jitsu with us? Choose as many as apply.

Fitness

Competition

Fun activity

Community

Self defense

Weight loss

Mental benefits (stress releif, self discipline, etc)

Any other goal you'd like to share?

Have you ever done Jiu Jitsu in the past? If yes, please share your experience level.

Do you have any health concerns / pre-existing conditions? If yes, please specify.

This will be kept 100% confidential, and we'll work with you to determine a modified training plan if necessary.

Thank you for completing the survey. Click the "SUBMIT" button register your answers.

We look forward to see you in a class soon.