All you have to do is fill out the survey below and we will enter you in our monthly drawing to win a video of your choice! All your information is completely private - LDLA will never give or sell your information to anyone. The information we collect here is used only for demographic purposes.

While you're here, take a look at our salsa video series!

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Your Name (Required):
Your Age:
Your Phone Number:
Your Email (Required):
Your Address (Required if you want the newsletter)
How did you find us?	Yahoo Search engine A friend I'm already a student at LDLA
How would you like to receive our newsletter?	I already receive the newsletter In regular mail E-mail I don't want the newsletter, thanks.
Have you had dance lessons before?	Yes No
If yes, which of the following types of lessons have you taken?	Group Lessons Private Lessons Workshops
Where have you taken lessons?
How long did you study (have you studied) dance?	Less than 3 months 3 to 6 months 6 months to 1 year More than 1 year More than 5 years
What Dances are you interested in?	Salsa    Cha Cha    Merengue    Samba    Rumba    Swing    Lindy Hop    West Coast Swing    Argentine Tango    International Ballroom    American Ballroom    Dancesport
Additional Comments

Thank you for taking the time to fill out our survey!

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