CPTN Training Registration

1. Information - Welcome and Thank you!

Hello, and thank you to this registration form. Please go, get a cup of tea and come back, it might just take up to 7 minutes of your time.

As part of this 'Community Participation Training Network' (CPTN) project we're trying, in asking you to fill out this form, to ensure we've kept a record of all those interested in the courses, to get a sense of what the demand is like and to be sure we are responding to the needs of the sector.

We are very grateful for your time, thank you in advance and do phone me if you've any questions! -Cathy 086 384 7440.

Section 1 is all about you, Tell us about yourself please:

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1. What is your full name?

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2. What is your age group?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

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3. What is your gender?

Female

Male

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4. Which of the following categories best describes your employment status?

Employed, working full-time

Employed, working part-time

Not employed, looking for work

Not employed, NOT looking for work

Retired

Disabled, looking for work

Disabled, not able to work

I would describe my circumstances differently:

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5. How did you hear about CPTN training?

I heard about it from a friend

DFI website

DFI Direct Email

Phone call from DFI

I heard about the course another way! :

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6. What's your postal address?

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7. Including your County?

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8. What is your email address?

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9. What is your phone number

20% of survey complete.