Escape Alive Survival Skills Follow-Up Survey
West Hartford | 11-23-25
Name
First Name
Last Name
Email
example@example.com
Opinion rating
*
Strongly Agree
Agree
Disagree
Strongly Disagree
The academic component is essential in setting the stage for the physical component of the class.
The Survivor's story was impactful.
The instructors were informative and supportive.
Based on what I learned, I feel more confident that I would be able to escape an attacker.
The class exceeded my expectations.
This class should be made available to all women & girls.
How did you hear about the class?
*
Company/Sponsor
Enewsletter
Flyer
Friend/Family
Host/Venue
Online Search
Past Participant
Social Media
Website
Other
Name of company/sponsor
*
First Name
Last Name
Name of company/sponsor
*
Name of friend/family member
*
First Name
Last Name
What prompted you to take the class?
*
To ensure we deliver the best experience possible, please leave any additional comments you may have.
May we use your comments on our website and promotional material?
*
Yes
No
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