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First name
Last name
Have you ever experienced a situation where you felt unsafe or threatened?
Yes
No
I'd prefer not to say
Where do you most often feel unsafe? (Select all that apply)
Walking alone at night
At home (domestic concerns)
Public transport
On dates or in relationships
At work or commuting
Other
How confident do you feel in your ability to protect yourself physically?
Not confident at all
Extremely confident
Have you had any self-defence or martial arts training before?
Yes, some
No, I’m a complete beginner
A little, but not recently
Would you be interested in more support after the webinar?
Yes, I’m actively looking for deeper training or mentoring
Maybe — I’ll decide after the webinar
No, just the free session for now
Would you prefer:
Online follow-up sessions
A self-paced course
Online 121's
Anything else you’d like us to know?
Submit
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