KMM Dance Goals Retreat Survey
This form is to learn more about your dance background, goals, and expectations for the retreat so that I can best support you.
Name
*
First Name
Last Name
Your Email
*
example@example.com
How long have you been dancing?
*
How often do you exercise or dance?
*
1x to 3x a week
4x to 7x a week
1x to 2x a month
I have no movement routine
What level of dance experience do you categorize yourself?
*
Beginner
Intermediate
Advanced / Performer
Professional
Teacher
I am a dance enthusiasts who appreciates all dances & not one dance style in particular!
Depending on our group excursions, we will have up to 2-scheduled classes a day. Which classes would you like to see offered?
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All Oricha Dances (Cuba & Brazil) & Nothing Else
All Dances From Brazil
All Dances From Cuba
Dance Conditioning Classes (Tuesday Class format)
Carnival La Conga / Comparsa from Cuba
Brazilian Samba Series: Samba De Roda, Samba Reggae, Samba Afro
AfroCuban Franco Haitian Dances: Vodun, Gaga, Congolaye, Merengue, etc.
Rumba (Cuba)
Congo Bantu Dances from Cuba: Palo & Macuta
Stretch
Body Isolations
Soca Carnival Dance from Trinidad & Tobago
Other
If other, please elaborate.
If you'd like to dance any specific Oricha dance from Cuba and/or Brazil or focus on any particular dance step, please list your preferences below.
Please tell me your comfort level in the dance classes in relation to my feedback and dance line positioning.
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I love to dance in the front row.
I love to dance in the back row.
I am shy and like to hide and blend in.
I welcome being singled out with feedback.
I am OK with demonstrating in front of the class.
Other
If other, please explain.
Please tell me your top 3 favorite dances.
Please tell me your least favorite dance/s.
What are your overall movement/dance/fitness goals for this retreat?
*
How best can I support you inside the dance classes during the retreat? Is there anything else that you'd to share or would like for me to know. Please explain.
Thank you for your time and for completing the form!
We respect your privacy. Your answers will remain private and confidential.
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