Anne Gage - The Confidence Coach
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1
. How did you first learn about Anne Gage
How did you first learn about Anne Gage
Magazine Ad
Referral/Link from another website
Search Engine
Other (please specify)
2
. Where are you located? This information will be kept strictly confidential.
Where are you located? This information will be kept strictly confidential.
Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
3
. Please indicate which services you are interested in.
Most interested
Somewhat interested
Not interested
Training/coaching for myself
Please indicate which services you are interested in. Training/coaching for myself Most interested
Somewhat interested
Not interested
Training for my horse
Training for my horse Most interested
Somewhat interested
Not interested
Attending a women's workshop
Attending a women's workshop Most interested
Somewhat interested
Not interested
Hosting a women's workshop
Hosting a women's workshop Most interested
Somewhat interested
Not interested
Attending a horsemanship clinic
Attending a horsemanship clinic Most interested
Somewhat interested
Not interested
Hosting a horsemanship clinic
Hosting a horsemanship clinic Most interested
Somewhat interested
Not interested
Other
Other Most interested
Somewhat interested
Not interested
4
. If you are interested in a clinic or workshop, please tell us which format up you prefer. Check all that apply.
If you are interested in a clinic or workshop, please tell us which format up you prefer. Check all that apply.
4 days mid-week
4 days Thursday through Sunday
4 days Friday through Monday
3 days mid-week
3 days Friday through Sunday
3 days Saturday through Monday
2 days Saturday & Sunday
1 day mid-week
1 day Saturday only
1 day Sunday only
Other (please specify)
5
. Which types of clinics or workshops are you interested in? Please check all that apply.
Which types of clinics or workshops are you interested in? Please check all that apply.
Personal development (Women in the Company of Horses)
Confidence building (Women, Horses and Fear)
De-spooking
General horsemanship
Solving behavioural/training problems
General riding skills
Other (please specify)
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