Customer Information

Organization Name

Job Title

Your name

Business Email

Phone

Zip/Post code

Address

What do you want to do with the LMS/Moodle/Moodle Workplace ?

Consultation via Zoom

Yes No

Preliminary questions about implementation

Purpose of implementation

select one Intra-organizational training (company or other organization) School education (university or other) School education (K12) Education business (tutoring school or other class) Provided externally as an agency partner Other

Number of participants

select one -300 301-1,000 1,001-5,000 5,001-10,000 10,001

Operation start period

select one Within 3 months Within 1 year Undecided

Experience with Moodle

select one Yes No

Experience using LMS

select one YES NO

Subscribe to our newsletter

Yes No

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