Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. What is your email address?

Question Title

* 4. What is your mobile phone number?

Question Title

* 5. What is your postcode?

Question Title

* 6. Are you a:

Question Title

* 7. Which CLP are you a member of?

Question Title

* 8. Which trade union(s) are you a member of?

Question Title

* 9. Which of Labour's sister parties and affiliated socialist societies are you a member of?

Question Title

* 10. Are you a member of any of these non-affiliated campaigns and groups within the Labour Party?

Question Title

* 11. Do you hold any public office?

Question Title

* 12. Do you hold any office in the Labour Party?

Question Title

* 13. Do you hold any office in a trade union or other affiliated organisation - if yes, please specify

Question Title

* 14. Would you be prepared to do any of the following?

Question Title

* 15. How old are you?

Question Title

* 16. What is your gender?

Question Title

* 17. Do you consider yourself to be any of the following?

Question Title

* 18. If you are a full Labour Party member, which year did you join the party?

T