Stepping UP Registration Survey

Welcome to Stepping UP

Please note that this information is confidential and individuals' responses will not be identified in any reports. Results are reported as tables and statistics only.

* INSTRUCTIONS
When a question has an * next to it, this means this question requires an answer before you can move on to the next page.

Question Title

* 1. Please enter today's date

Day, month and year when you are attending this training

Date

Question Title

* 2. What is the name of the programme you're attending? (ask your trainer if you're unsure)

Stepping UP

Skinny JUMP

Digital Banking

Digital Wellbeing

Appy Seniors

Digital Resilience

Question Title

* 3. What is your name?

Question Title

* 4. What is your contact phone number?

Question Title

* 5. If you have one, what is your email address?

Question Title

* 6. Please select the region that you are part of. You may tick one region only.

Northland

Auckland

Waikato

Bay of Plenty

Gisborne

Hawkes Bay

Taranaki

Manawatu-Wanganui

Wellington

Tasman

Nelson

Marlborough

West Coast

Canterbury

Otago

Southland