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First Name
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Last Name
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Date of Birth
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Phone Number
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Email
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Address
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Street Address
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I need:
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Full Education (Learner Driver)
Full Education (Handicap Driver)
Retraining (Handicap)
Seniordrive-Coaching
Preparation for driver's license exchange
Volunteer Driver Training
Braindrive Preliminary Check-up with the Doctor
I want a meeting
Driving Anxiety Online-Coaching with Brenda
I have:
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Already a driver's license
No driver's license yet
I would like to obtain the following service
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1. driver training (automatic)
2. driver training handicap (automatic)
3. first aid course
4. VKU (english)
5. 1:1 theory
I need support with:
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1. retraining (handicap)
2. feardrive (fear of driving)
3. seniordrive (seniors over 70)
4. further training (voluntary up to 70)
5. exchange of foreign driving license
For Licence Exchangers ONLY! Date of entry into Switzerland
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Month
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Day
Year
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Driving Skills
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Beginner
Knows Little
Knows Well
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Choose your VKU Course:
Course_01 I 11+25 May I Sunday I 11am-3pm
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I need special support
I have exam anxiety
I'm afraid to drive
I have autism
After an accident, I'm afraid to drive again
I have ADHD
I have a physical disability (Explain in the comment field)
After a long break from driving, I would like to get back behind the wheel
I have a new car and need support
I've had bad experiences (Explain in the comment field)
Other (Explain in the comment field)
Explain
How did you find us?
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Google
Word of Mouth
Family Doctor
Cerebral
Road Traffic Office
TCS
VCS
Road-Cross
Swissdrive
Seniordrive
Feardrive
L-Drive
Carosserie Warpel
Garage Schüpbach
AXA Versicherung
Other
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Please Upload Your Lerner's Permit or Driver's Licence or Order from the road traffic office
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Additional Notes
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I would like a non-binding quote for car insurance and would like to be contacted about this.
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Yes, please
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