Enquiry Questionnaire

Name
Job Title
Company (if applicable)
House or Building No. & Street
Area
Town
County
Post Code
Tel. No. Work
Tel. No. Home
Mobile No.
Email Address
Which course are you interested in?	Select a Course Option Beating Anger Intensive Beating Anger 10-week Evening Anger Mngt. One-Day Introduction Anger Management Bespoke Courses Anger Management Taster Evening Stress Management Half-Day Stress Management One-Day Stress Management Two-Day Personal Effectiveness Intensive Weekend Personal Effectiveness Evenings Personal Effectiveness Fortnight Self Esteem - Dancing with Life Public Course Self-Esteem - Dancing with Life In-House Programme
Are you interested in receiving coaching?	select one yes no
Is this a personal enquiry?	select one yes no
Is this a company enquiry?	select one yes no
Preferred (course) start date (see some course dates listed below)?
Where did you hear of us?
Please add any questions/comments

Thank you for your enquiry. We will be in touch shortly.

Please also take a look at the course dates above.

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Course Dates and Information

Beating Anger Intensive Weekend:

Friday 28th July, Saturday 29th July and Sunday 30th July

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Bookings

Please complete the questionnaire below or feel free to call or email us if you do not wish to do so.

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