NEW MEMBER QUESTIONNAIRE

The purpose of this questionnaire is to gather information about participants in the Humanism 
Promotion and Marketing Group (Humanism-PMG). Please refer to the group's constitution 
for details on the group's objectives and approach.



SELF IDENTIFY:

How do you refer to yourself regarding your lack of a religious faith? (Please tick one)

Atheist								[ ]
Agnostic							[ ]
Bright								[ ]
Freethinker							[ ]
Humanist (including Secular Humanist) 				[ ]
Rationalist							[ ]
Secularist							[ ]
Generally Non-Religious (no identity) 				[ ]
Other (please specify): 					[                                   ]


CULTURAL BACKGROUND(optional):

Although you do not have a religion, you may have been raised according to a religious tradition. Please identify 
which one. The reason for this question is that it may be useful to form project teams from a mixture of, or just one, 
religious tradition. (Please tick one)

Christian (Church of England)					[ ]
Christian (Catholic)						[ ]
Christian (other) - please specify				[                                   ]
Buddhist							[ ]
Hindu								[ ]
Muslim								[ ]
Humanist							[ ]
Not raised in a religious tradition 				[ ]
Other (please specify): 					[                                   ]


WHERE YOU LIVE:

The first four characters of your post code			[       ]
(e.g. MK45)

Are you willing to be put in contact with other people in 
your area in order to participate in joint projects? 
(Please answer Yes or No)					[Y/N]


SOME PERSONAL DETAILS:

Please indicate your gender and age range (Please tick one for each)

Gender:								[Male/Female]

Age:
18 - 30								[ ]
31 - 50								[ ]
51 - 65								[ ]
Over 65								[ ]


MEMBERSHIP OF GROUPS/ORGANISATIONS:

Please indicate which organisations you are a member of (Please tick all that apply)

British Humanist Association					[ ]
National Secular Society					[ ]
Gay and Lesbian Humanist Association				[ ]
Rationalist Association						[ ]
South Place Ethical Society 					[ ]
Local group (please specify)					[                                   ]
Other (please specify)						[                                   ]


ACTIVITIES YOU ARE WILLING TO BE INVOLVED IN:

Please indicate which activities you are willing to participate in and which you are willing to help
organise (Please update all)

Top level projects - to be rolled out nationwide		[Participate In / Help Organise / Both / Neither]
Leafleting - posting leaflets through doors:			[Participate In / Help Organise / Both / Neither]
Leafleting - handing out in town centres			[Participate In / Help Organise / Both / Neither]
Leafleting - distributing leaflets to libraries, etc		[Participate In / Help Organise / Both / Neither]
Helping to run a stand in a town centre				[Participate In / Help Organise / Both / Neither]
Helping to run a stand at a local event 			[Participate In / Help Organise / Both / Neither]
Writing to your local media					[Participate In / Help Organise / Both / Neither]
Carrying out surveys - door to door				[Participate In / Help Organise / Both / Neither]
Carrying out surveys - in town centres				[Participate In / Help Organise / Both / Neither]
Speaking to local groups					[Participate In / Help Organise / Both / Neither]
Speaking to schools						[Participate In / Help Organise / Both / Neither]
Speaking to the local media (newspapers, radio)			[Participate In / Help Organise / Both / Neither]
Online promotions (social networking, forums, etc)		[Participate In / Help Organise / Both / Neither]
Other (please specify)						[                                               ]


CONFIRMATION THAT YOU HAVE READ AND AGREE WITH THE OBJECTIVES OF THE GROUP:

I confirm that I have read the Humanism-PMG 
Constitution and agree to work in accordance with 
it.								[Y/N]

I confirm that I have read and understood the 
"Initiative Leader Guidance"					[Y/N]

I confirm that I have read and understood the 
"Initiative Participant Guidance"				[Y/N]