Bug report

Please be as detailed as possible to help us in the troubleshooting process.

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What is your name?

Nice to meet you, {{name}}!
What is your preferred e-mail address?

What is your preferred phone number?

Just to check, what are you interested in?

1-1 Tutoring Online Course Bursaries/Resources Other

When should we call you?

It would be great to have a 15m chat to discuss a personalised plan and answer any questions

Another Day

Skip the Call

What time works best for you? (UK Time)

Pick a time-slot that works best for you ?

8am-2pm 2pm-10pm

10:00-10:30 10:30-11:00 11:00-11:30 11:30-12:00 12:00-12:30 12:30-13:00

15:00-15:30 15:30-16:00 16:00-16:30 16:30-17:00 17:00-17:30 17:30-18:00 18:00-18:30 18:30-19:00 19:00-19:30 19:30-20:00

How many hours of 1-1 tutoring are you looking for?

0-5 10 20-30 40+

My WhatsApp number is...

Same as the one I entered Different to the one I entered

For our safeguarding policy, please confirm...

I am under 18 I am over 18

Which online course are you interested in?

What is your query?

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You can apply for a bursary by clicking this link

https://www.medicmind.co.uk/medic-mind-foundation/

Sure, what is your query?

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