* 1. What is your first name?

* 2. What is your last name?

* 3. What is your email address?

* 4. What is your phone number?

* 5. What do you most want to learn about using WordPress and working with WordPress themes? (Choose all that apply.)

* 6. What is your comfort level with HTML?

* 7. What is your comfort level with CSS?

* 8. What would you like to learn the most about working with WordPress themes?

* 9. What type of instruction are you most interested in?

* 10. What days of the week would you be available to take a class? (Please check all the days that would possibly work.)

* 11. What hours during the week would you be available to take a class? (Check all that apply.)

* 12. Other comments or questions?

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