Wai July sign ups

First Name *

Last Name *

Email Address *

Phone number *

Address *

Street address *

Suburb *

City *

Postcode *

Iwi

How are you participating? *

TeamIndividual

What is your team name? *Remember, there is a maximum of 10 per team. Please enter the correct team name.

General insights

Why have you decided to do Wai July? *

When you do drink alcohol, what type would you typically consume? *

Beer RTD’s Spirits Wine

On average how much would you consume in one session/occasion? *

On average, how much would you spend in a week on alcohol? *

Other: please explain

On average, how many alcohol outlets do you see on a daily basis? *

On average, how many alcohol ads do you see on a daily basis? *

What are some things you might do to stay strong for the month? (e.g Let whānau and friends know you are doing Wai July, focus on fitness goals, work out how much $ you might save etc) *

What are some things you might do instead of drinking? (E.g. Take non-alcoholic drinks to get togethers, start a new hobby, go running, try different activities with the team to celebrate etc) *