CovidSurvey

Your Name (required)

Student Name (required)

1. We will have personal classes available in the dojo beginning June 15th.
Do you want to continue your classes online or come in to the dojo?
Online
In the dojo
Not Sure

2. There will usually be 2 students in a personal class.
(Always maintaining distance with no contact)
Is this ok?
Yes
No, I do not want a partner
There are already 2 in my family

3. Your instructor will be wearing a mask. It is optional for students.
Do you want to wear a mask?
Yes
No

4. Are there any other comments you would like to make
or anything you would like me to know?

5. Please give me all the times you are available.
Feel free to add notes as to preferred days/times.
You can put specific times or general statements (i.e., between 1-5 or anytime after 2)
Monday
Tuesday
Wednesday
Thursday
Friday