Q1. Which age group do you fall into ?

1. 17 - 20
2. 21 - 45
3. 46 - 65
4. 65+

a   b   c   d  

Q2. Which of the following statements best matches your experience ?

1. No driving experience at all.
2. Very little driving experience
3. Have driven for at least 15 hours either during private practice or under professional instruction.
4. Have performed any of the following manoeuvres: Parallel Park, Bay park, reverse around a corner.
5. Have taken a test and not been successful or had to cancel a test for whatever reason.

a   b   c   d   e  

Q3. How long ago did you gain your driving experience?

1. Never.
2. Within the last 6 months.
3. 6 - 12 months.
4. 1 - 5 years.
5. more that 5 years.

a   b   c   d   e  

Q4. Which statement would best describe how you are feeling about learning to drive?

1. Can't wait, I am really looking forward to starting lessons and finally getting out on the road.
2. Feel ready to learn to drive.
3. Neutral.
4. I know that the time is right for me to learn but I am a little nervous.
5. I have to learn to drive due to my circumstances, I am very anxious at the prospect.

a   b   c   d   e  

Q4. When are you available for lessons?

Please tick as many as possible.

Contact Details