GMB Midland and East Coast Women's Committee

Question Title

* 1. First name

Question Title

* 2. Surname

Question Title

* 3. Membership Number/ Branch

Question Title

* 4. Email

Question Title

* 5. Telephone number

Question Title

* 6. Do you currently have a role in the GMB? (E.g. steward, regional council member)

Yes

No

Question Title

* 7. If no, are you interested in getting active in the GMB?

Yes

No

Question Title

* 8. If interested how can we help you ?

Question Title

* 9. Is the menopause an issue in your workplace?

Yes

No

Don't Know

Question Title

* 10. Are you Interested in running a campaign?

Yes

No

Maybe - send me more information

Question Title

* 11. If so how can we help ?

Question Title

* 12. How would you use the knowledge and skills gained in this training to make your workplace better?