Name

Postcode

Telephone number

Email address

Do you have a provisional licence? Do you have a provisional licence? Yes No

Theory test passed Theory test passed Yes No

What area do you want to take your lessons in?

Do you want manual or automatic lessons?

Address

Pick up location if different to home address

How long would you like to take to learn? How long would you like to take to learn?Less than 1 week1-2 weeks2 weeks to 2 months

Where did you hear about us?

We welcome the opportunity to diversify our training to suit your needs. Please let us know here

Instructor Name

Email Address

How do you feel your lessons are going so far?

How do you rate you’re driving instructor (1 bad 10 excellent)

How do you rate you’re driving instructor (1 bad 10 excellent)

Is your driving instructor’s behaviour fit and proper?

Is driving instructor time keeping accurate to what was agreed?

Do you feel the lesson is being taught at the right level for you?

Do you feel you are progressing sufficiently throughout your lessons?

Is the content of the lesson informative and made simple to understand?

Does your instructor offer adequate help for any areas of weakness you are asking for guidance in?

Does your instructor make it easy for you to express concerns you have in relation to the course.

Are there any other ways that you’re driving instructor could or should be helping you?

Name

Instructor Name

Lesson date & time to be cancelled

Date & current time of cancellation notification

How clean has your training vehicle and how presentable has your instructor been throughout your lessons with us?

Has your driving instructor been on time or notified you about any lateness in good time?

Have you been treated with respect?

Have you been “helped every step of the way?

Reason for cancellation. Please add any notes here that you would like to make us aware of.