Survey form

Devon County Branch of UNISON

Women members' Survey - Mar 05

1. Subject of Interest:

(tick any that apply)

	Pensions
	Women & UNISON
	Domestic violence
	Make Poverty History
	Personal safety at work
	Equal Pay
	Preventative and alternative self help health care
	Women's Refuge
	Sexual Harrassment
	Circle Dancing
Another reason:

2. Preferred Day:

Day	Morning	Afternoon	Evening
a. Monday
b. Tuesday
c. Wednesday
d. Thursday
e. Friday
f. Saturday
g. Sunday

3. Preferred time:

	5.30pm
	6.30pm
	7.30pm
Other:

4. Frequency of meetings:

	Monthly
	Bi Monthly
	Quarterly
	Half Year
	Annually

5. Preferred venue:

	Hotel
	Pub
	Workplace room
Other:

6. How far are you prepared to travel?:

	Less than 10 miles
	More than 10 miles, less than 50 miles
	More than 50 miles

7. Sequence of events:

(number 1 - 4 in order of preference)

	Speaker
	Refreshments
	Chat and share experiences
Other:

8. Do we require officers?

Yes No

9. Preferred form of communication?:

	Snail mail
	e-mail
	Telephone

---

10. Only fill in the name and address if you wish to be kept informed of progress:

Membership No.
Name
Address
e-mail
Telephone

 

Thank you for taking the time to fill out the form, hopefully it will help with organising meetings that many of you will be able to attend.

Please tell interested colleagues about this survey. I am keen to make these meetings available to the maximum number of Women members.

If you'd prefer to print this off and send it me by post the address is:

 Ann Hydes
 UNISON Devon County Branch
 Matford Offices
 County Hall
 Exeter
 EX2 4QX

Mar 05

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