Input Form | LF Self Defense

🔒 Personal Safety & Self-Defense Input Form

We want to make sure your self-defense class is as practical and relevant to your life as possible. Share any specific situations, concerns, or experiences you’d like us to cover. Your responses are completely confidential and will help us tailor the session to your needs!

1️⃣ Are there any specific situations you’ve encountered (or worried about) where you’d like to know the best way to respond? ✍️ (Example: “I often feel uneasy walking to my car at night” or “What’s the safest way to set boundaries with pushy strangers?”)

2️⃣ Do you have a past experience where you wish you had known what to do? ✍️ (Example: “I was approached aggressively at a gas station and didn’t know how to react.”)

3️⃣ Which of these would you like to learn more about? (Check all that apply)