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Wananga Whakaora - Health and Wellbeing Workshop Query form
Please complete the following details to register for your selected workshop session.
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Full Name
Your answer
Email Address
Your answer
Contact Phone Number
Your answer
Affiliated Organization / Company Name (if applicable)
Your answer
Which workshop are you registering for?
Rongoa Harvesting Workshop Wairakau/Panipani creation - 3-6 hour x 2 workshops
Lifestyle and Wellness Workshop - 10 x Fully integrated Workshop 1x per week or month
Diabetes & Blood Sugar management 1 full day workshop 6- 7 hours
Pain & inflammation
All of the Above
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Preferred Workshop Date
MM
/
DD
/
YYYY
Preferred Workshop Time
Time
:
AM
PM
How did you hear about this workshop?
Email Newsletter
Social Media (LinkedIn, Facebook, etc.)
Search Engine (Google, Bing)
Colleague/Word of Mouth
Company Website
Other
Do you have any dietary restrictions or accessibility requirements?
Your answer
Please rate your prior experience level with the workshop topic:
Novice
1
2
3
4
5
Expert
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Which days of the week are you most available for workshops?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What is the primary motivation for attending this specific workshop?
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Personal Health Improvement
Professional Development/CPD
Cultural Knowledge Acquisition (Rongoa)
Networking
Other
I agree to the Terms and Conditions of the workshop registration (details available on our website).
Yes, I agree
No, I do not agree
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