Lifestyle Learning Surveys

Title*
First Name*
Surname*
Gender* Male Female
Date of Birth*
Marital Status*
Address*
Suburb*
Post Code*
State*
Country*
Mobile
Daytime Phone Number
Email*
Confirm Email*
Would you consider any of the following courses to enhance your career or lifestyle? (tick one that applies)
1. Creative Writing
2. Editing and Proof Reading
3. Interior Design
4. Life Coaching
5. Online Education
Would you use the internet or direct mail to research or purchase any of the following? (tick any that apply)
1. Creative Writing
2. Books
3. Cooking
4. Beauty Products
5. Music
6. Computer Hardware or Software
7. Fashion
8. Travel
9. News
10. Performing Arts
11. Cinema
12. Shares or Investments
13. Donating to Charities
14. Wine Purchase or Education
15. Wedding Ideas and/or Venues