Leave this field blank First Name Last Name Email Phone Do you intend to work at Business Addicts Coworking sometime in 2020? Yes No Approximately when do you intend to next use to Business Addicts Coworking? Please note that this is an estimate only for planning purposes and does not constitute a booking. Please do not select a date prior to 19 October 2020, as we will not be open prior to that date. Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 Approximately how many days a week do you think you are likely to access the space? 0 1 2-3 4+ Which days of the week do you think you would use the space? List as many as many as relevant. None Monday Tuesday Wednesday Thursday Friday Saturday Sunday Which of the following workspace options are you considering using? None Hot desk Permanent desk Private office Meeting room Training room Is there any other information you would like to share with us or questions you wish to ask at this time? Please be aware that you will be required to prepare and show evidence of a COVIDSafe plan for your business prior to returning to Business Addicts Coworking. The Victorian Government provides a template for this, which you can download here. Finished