Registration Details

Question Title

* 1. Which Workshop/Course/Class are you booked on?

Question Title

* 2. Your Contact Details

Question Title

* 3. Your Date of Birth

Date

Question Title

* 4. Your Address Details

Question Title

* 5. Emergency Contact Details

Question Title

* 6. Are there any access, medical problems (allergies, any regular medication taken) we need to be aware of? Family or other information can be discussed with the team directly or entered in the box below as well.

Question Title

* 7. Consent & Agreement (Ticked boxes will assume consent)

Question Title

* 8. Marketing Communications Preferences - You give us permission to contact you regarding various activities and opportunities including specialist workshops, auditions and ticket discounts across the Norwich Theatre stages (Un-ticked boxes will assume no consent for marketing communications)

Your Wellbeing
All wellbeing answers will be recorded anonymously

Question Title

* 9. How would you rate your wellbeing over the last two weeks?
(1 is very poor and 10 is excellent)

1 5 10
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 10. Below are some statements about feelings and thoughts. Please tick the box that best describes your experience of each over the last two weeks.

  None of the time Rarely Some of the time Often All the time
I’ve been feeling optimistic about the future
I’ve been feeling useful
I’ve been feeling relaxed
I’ve been dealing with problems well
I’ve been thinking clearly
I’ve been feeling close to other people
I’ve been able to make up my own mind about things
Virtual Creative Activity Participation Agreement
Please ensure you have read the online procedures and participation documents we have emailed you.

Question Title

* 11. Over 18 years old Online Participation

0 of 11 answered
 

T