Lilac Cancer Support
Interest and Availability
What works best for you?
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Name
Are you currently Registered with Lilac Cancer Support?
Yes
No
What days of the week are you most often available to attend sessions of an hour or more?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What time of day are you most often available to attend sessions of an hour or more?
Morning (9am-12pm)
Afternoon (12pm-5pm)
Evening (5pm-9pm)
How did you hear about us?
Which of the following Health and Wellness Programmes interest you?
Move More
Greif and Loss Group Counselling
Art Class
Dance Class
Cooking
Community Shed
Community Gardening
What Services and/or Workshops would you like to see Lilac offer?
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