Green Lane Centre, Whitby, UK

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We understand everyone is unique with different wants and needs. The NEW Green Lane Centre would like to provide courses and workshops that you really want, at a time that suits you. We would be grateful therefore if you could spare two minutes to complete this short questionnaire to help us organise the sessions you want.

Help us to help you. Simply complete the questionnaire below!

Would you be interested in any of the following courses and workshops?

Please tick the most appropriate box(es), you may select more than one box per question

First Aid			Publicity Skills
Alternative Therapies			Internet & Email
Childcare			DJ Workshops
Sign Language			Customer Service Training
Pottery			Keepfit & Dancing
IT for Beginners			Arts & Crafts
Cake Decorating			Family History
Sports Classes			Roles of a Trustee
Setting up a Business			Yoga & Tai Chi
Foreign Languages			Health & Social Care
Beauty Therapy			Learning an Instrument
Managing Stress			Interior Design
Graphics & Web-design			Cooking
Roles of a Treasurer			Music/Video Production

What other courses and workshops would you like to see at Green Lane Centre?

	Your choice of course/workshop #1

	Your choice of course/workshop #2

What day(s) would suit you best?

Mondays

Tuesdays

Wednesday

Thursdays

Fridays

Saturdays

Sundays

What start time(s) would suit you best?

9am

10-12 noon

1-3pm

4-6pm

7pm

8pm

9pm

Please tell us the most suitable course duration(s) for you:


No. of Weeks:	1	2-4	5-8	9-16	17-32	33-50

Frequency:	Daily	Weekly	Fortnightly	Monthly	Bi-monthly	Quarterly

The contact details section is optional
Please complete if you want to be informed of future courses at Green Lane Centre

Your name

Your telephone number

Your e-mail address

Your Address