GROUP CPR Class Questionnaire

Thank you for choosing to bring CPR training to your organization.
This form helps us understand your needs, plan effectively, and deliver a smooth, high-value session for your team.

Organization Details

Name of Organization: *

Primary Contact Person: *

Email *

Phone *

Organization address: *

City *

State *

Country *

Postal Code *

If Other, please specifiy:

Training Needs

If Other, please specify:

Do participants need certification cards the same day? *

Yes

No

Doesn't Matter

Class Size & Scheduling

Estimated Number of Participants *

Are you expecting multiple groups or one group? *

What are your top 3 preferred dates and times for your class? *

Preferred time: *

Morning

Afternoon

Evening

Flexible

If Other, please specify:

Onsite setup

Is there an Automatic External Defibrillator (AED) onsite at your facility? *

Yes

No

Do you have adequate space for hands-on practice? *

Yes

No

Not Sure

Do you have tables and chairs available? *

Yes

No

Is parking available near the entrance for equipment unloading? *

Yes

No

Any building access details we should know? *

Team Considerations

Any physical limitations among participants? *

Will any participants need ADA accommodations? *

Yes

No

Payment & Documentation

Who is responsible for payment? *

Organization

Individual

Split

Do you need an invoice before scheduling? *

Yes

No

Documents required: *

Roster

Attendance

Certificates

Other

If Other, please specify:

Additional Options

Add First Aid training? *

Yes

No

Possibly

Info on private makeup sessions? *

Yes

No

Notify for future renewals? *

Yes

No

Final Notes

Anything else we should know? *

By completing this form, I confirm that the information provided is accurate to the best of my knowledge. I understand that class placement is based on the details I’ve provided, and I agree to comply with the policies outlined, including the Terms & Conditions. I acknowledge that payment is required to secure my class spot and that cancellations, rescheduling, and attendance policies apply. Lastly, I agree to receive class updates, reminders, and important notifications via email, text, or phone.

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