Name
Phone Number
Are you interested in a BASIC/Entry Level Computer Course?
Yes
No
What Other courses might you be interested in?
Do you have a computer at home at the moment?
No
How do you propose to practice your skills
Yes
What type pf computer?
Desktop
Laptop
Tablet
Not sure
Do you have the Internet at home
Yes
No
Not Sure
If you use it can you give an example of what you use it for
Done Deal
RIP
Read the news
Social Media / Facebook
Other
Shopping?
Can you suggest areas you might like to learn about?
Yes
No
Not Sure
Take Note (Text box)
Do you have a working printer at home?
Yes
No
Phone
Date of Call
Do you use Social Media
No
Yes
Social Media on the phone
Other