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WDM supporter survey 2011

Page 1 - About you

The purpose of this questionnaire is to make the way we communicate with you more effective which means that we can make our campaigns for justice for the world's poor even more successful.

The survey will take approximately 10 minutes

We are offering two £25 National Book Tokens to two lucky winners who complete the questionnaire. If you would like to be entered into the draw for the tokens please ensure that you provide your email address and/or phone number.

1. Your contact details

Title *This question is required.

First name *This question is required.

Last name *This question is required.

Address line 1 *This question is required.

Address line 2

Address line 3

Town *This question is required.

Postcode *This question is required.

Telephone number

Email address *This question is required.

2. Gender *This question is required.

3. Date of birth (dd/mm/yyyy) *This question is required.

4. Occupation

5. How did you first hear about WDM?

Newspaper or TV
University/college
Event
Local group

Web
Through a friend
Other Please enter an 'other' value for this selection.

6. Are you a WDM group member?

If yes, which group?

If no, would you like us to send you some information about joining a group?

7. Are you a member of any other local groups?

If yes, which group?

International development campaigning
Peace group
Church group
Environmental campaigning

Transition Town
Faith group
Other Please enter an 'other' value for this selection.

8. Do you financially support other charities?

What sort of charities do you support? (Please tick all that apply)

Other international development charity
Other campaigning organisation
Animal charity
Homeless charity
Refugee charity

Environmental charity
Children's charity
Health or disability charity
Human rights charity
Other Please enter an 'other' value for this selection.

9. What other organisations do you campaign for or support in other ways?

10. What magazines and newspapers do you read? (Name up to five)

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