Wales Dyslexia / Dyslecsia Cymru - Course Questionnaire

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1. I would like to enroll on an e-learning course for parents, teachers and LSA's (in course of development) on supporting a dyslexic child.

	Welsh	English
Yes	*I would like to enroll on an e-learning course for parents, teachers and LSA's (in course of development) on supporting a dyslexic child. Yes Welsh	Yes English
No	No Welsh	No English

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2. I would like to attend a course to become a tutor for children with dyslexia. Please select your preferred language and venue.

	Welsh	English	Both	No
Wrexham	*I would like to attend a course to become a tutor for children with dyslexia. Please select your preferred language and venue. Wrexham Welsh	Wrexham English	Wrexham Both	Wrexham No
Carmarthen	Carmarthen Welsh	Carmarthen English	Carmarthen Both	Carmarthen No
Cardigan	Cardigan Welsh	Cardigan English	Cardigan Both	Cardigan No
Newport, Gwent	Newport, Gwent Welsh	Newport, Gwent English	Newport, Gwent Both	Newport, Gwent No
RCT	RCT Welsh	RCT English	RCT Both	RCT No
Other	Other Welsh	Other English	Other Both	Other No

3. I would like to attend a Dyslexia awareness raising one day course. Please select your preferred language and venue.

	Welsh	English	No
Wrexham	*I would like to attend a Dyslexia awareness raising one day course. Please select your preferred language and venue. Wrexham Welsh	Wrexham English	Wrexham No
Carmarthen	Carmarthen Welsh	Carmarthen English	Carmarthen No
Cardigan	Cardigan Welsh	Cardigan English	Cardigan No
Newport, Gwent	Newport, Gwent Welsh	Newport, Gwent English	Newport, Gwent No
RCT	RCT Welsh	RCT English	RCT No
Other	Other Welsh	Other English	Other No

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4. I would like to attend an accredited 30 hour bilingual course on supporting the dyslexic child

I would like to attend an accredited 30 hour bilingual course on supporting the dyslexic child   Yes No

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5. I would like to become a telephone helpline volunteer.

I would like to become a telephone helpline volunteer.   Yes No

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6. I would like to attend a one day training course on using Dyslexic Screening Tests on 18th March 2010 in Cardigan.

	Junior	Secondary	Adult
Yes	*I would like to attend a one day training course on using Dyslexic Screening Tests on 18th March 2010 in Cardigan. Yes Junior	Yes Secondary	Yes Adult
No	No Junior	No Secondary	No Adult

Please provide your contact details (name, address, telephone number and email address)

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7. Do you hold any Dyslexia Qualifications?

Do you hold any Dyslexia Qualifications?   AMBDA ATS University Accredited Qualification HORNSBY Dyslexia Action Other

Other (please specify)

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8. My interest in dyslexia is as:

My interest in dyslexia is as:   Parent Teacher LSA Dyslexic Individual Professional Role Other

Other (please specify)