Learner Enquiry Learner Enquiry Contact Your informationYour driving history Your availabilityAny other informationSecurity First NameLast NameAre you.... Female MaleAddressAddress Line 1Address Line 2CityPostcodeMobile NumberEmailDate of BirthPrevious StepNext StepWhat's your provisional Licence number?Have you had driving lessons before? No, I'm a complete beginner Yes, I've had less than 10 hours Yes, I've had more than 10 hours Yes: I've taken a Practical Driving Test but I was unsuccessfulWhen did you last attempt a Practical Driving Test?How many hours have you completed previously?0How long ago did you last have a driving lesson? Less than a month ago More than a month ago Less than 6 months ago More than 6 months ago More than a year agoHave you passed a Theory Test yet? Yes No No, but I have one bookedWhen did you pass your Theory Test?When is your Theory Test?Do you have a practical test booked? Yes NoWhen is your practical test?Which test centre did you book? Gosforth Blyth Gateshead OtherPrevious StepNext StepIn the next section, you'll tell us your availability Please note:Â Driving lessons are 2 hours Driving lessons are at set times throughout the day Please only select days/times you can commit to on a weekly basis. When are you available for lessons? Tuesdays 8:30am-10:30am Tuesdays 11am-1pm Tuesdays 2pm-4pm Tuesdays - EVENINGS & WEEKENDS ARE CURRENTLY UNAVAILABLE Wednesdays 8:30am-10:30am Wednesdays 11am-1pm Wednesdays 2pm-4pm Wednesdays - EVENINGS & WEEKENDS ARE CURRENTLY UNAVAILABLE Thursdays 8:30am-10:30am Thursdays 11am-1pm Thursdays 2pm-4pm Thursdays - EVENINGS & WEEKENDS ARE CURRENTLY UNAVAILABLE Fridays 8:30am-10:30am Fridays 11am-1pm Fridays 2pm-4pm Fridays - EVENINGS & WEEKENDS ARE CURRENTLY UNAVAILABLE Saturdays - EVENINGS & WEEKENDS ARE CURRENTLY UNAVAILABLE Saturdays - EVENINGS & WEEKENDS ARE CURRENTLY UNAVAILABLEPrevious StepNext StepDo you have any disabilities that may affect how you learn and/or drive? No YesPlease specifyDo you have any Special Educational Needs that we need to be aware of? No YesPlease specifyWhere did you hear about RoadSmart Driver Coaching & Development? Scanned QR Code on car RoadSmart Facebook page RoadSmart Instagram page Local Facebook group Google Search The Honest Truth Confident Drivers Website Driving Test Success Someone I know learned with RoadSmart Recommendation OtherPlease SpecifyWho recommended you to us?Previous StepNext StepPlease verify you are human Previous Submit Form