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Questionnaire template

Webinar Registration

Registration form for a single webinar capturing registrant details, professional profile, accessibility needs and consent.

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Questions in this template

Your Details

  1. Register here to reserve your place. We will email your joining details shortly before the webinar starts.

  2. First name

    Open answer

  3. Last name

    Open answer

  4. Work email address

    Open answer

  5. Which country do you live in?

    Open answer

Professional Profile

  1. What is your job title?

    Open answer

  2. How many people work at your organisation?

    Choose one:

    • 1–10
    • 11–50
    • 51–250
    • 251–1,000
    • More than 1,000
    • I do not work for an organisation

  3. Which industry do you work in?

    Choose one from a list:

    • Education
    • Government
    • Healthcare
    • Finance
    • Technology
    • Manufacturing
    • Retail
    • Non-profit
    • Other

  4. Please name your industry.

    Condition: Shown when Other is selected

    Open answer

Attendance and Accessibility

  1. How did you hear about this webinar?

    Choose one:

    • Email
    • Social media
    • A colleague
    • Search engine
    • Our website
    • Other

  2. Have you attended one of our webinars before?

    Choose one:

    • Yes
    • No

  3. Would you like any accessibility support during the webinar?

    Choose one:

    • Yes
    • No

  4. Which support would help you? Select all that apply.

    Condition: Shown when accessibility support is requested

    Choose any that apply:

    • Live captions
    • Sign language interpretation
    • A transcript afterwards
    • Other

Questions and Consent

  1. Which topics or questions would you like the speakers to address?

    Open answer

  2. This webinar will be recorded. Please confirm you are comfortable with this.

    Choose one:

    • I understand and agree
    • I have a concern

  3. What is your concern about the recording?

    Condition: Shown when the registrant has a concern

    Open answer

  4. May we email you about future webinars and events?

    Choose one:

    • Yes
    • No