Membership Survey

Question Title

* 1. Full Name (Please include your Title, First Name and Last Name)

Title

First Name

Last Name

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* 2. What is your gender?

Male

Female

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* 3. Please update your email address /telephone number

Email Address

Telephone

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* 4. What is your age group?

18-25

26-35

36-50

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* 5. Please state your most recent academic qualification

	Academic Qualification
Last Academic Qualification	Last Academic Qualification Academic Qualification menu

Other (please specify)

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* 6. What is your engineering discipline?

Chemical

Civil

Mechanical

Electronics

Electrical

Structural

Other (please specify)

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* 7. What is your employment status? (Please select 2 relevent answers)

Self-employed

Employee

Job seeker

Full time

Part Time

Not Applicable

Please state which UK city/town you work in (e.g. London)

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* 8. How many years of employment (work experience) do you have ?

1-4

5-10

11-15

15+

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* 9. What is your professional level?


Professional Level	Professional Level menu

Other (please specify)

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* 10. In order to continue the work we do, AFBE-UK will ask for a relatively small membership fee of £30 per annum. Would you consider becoming a paying member or making a donation?

Yes