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Memory Training Form
Does your memory difficulty cause you to feel less confident at work or in social situations?
What is your full name?
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What is your phone number?
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What is your email address?
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Which country are you from?
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What is your date of birth or age?
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Why are you interested to do this memory training course?
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What sort of forgetfulness do you tend to experience? Example are names and faces, or appointments and deadlines?
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On a scale of 1–10, how well are you able to focus on a single task without getting distracted?
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On a scale of 1–10, how well are you able to focus on a single task without getting distracted?
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10
What strategies do you use at present to memorise information?
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Are you a visual learner who prefers images, auditory (listener) or do you learn best through hands-on practice and repetition?
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Are you a visual learner who prefers images, auditory (listener) or do you learn best through hands-on practice and repetition?
Visual
Auditory
Practice (kinesthetic)
Repeating
Do you have any additional needs, diagnosis or take medication that affects memory?
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What is the main purpose of improving your memory?
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What is the main purpose of improving your memory?
Exams
Everyday Learning
Daily Tasks
Confidence
Brain Training
Old Age
ADHD
Other
What is the other?
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Submit