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GMB Midland and East Coast Women's Committee
1.
First name
2.
Surname
3.
Membership Number/ Branch
4.
Email
5.
Telephone number
6.
Do you currently have a role in the GMB? (E.g. steward, regional council member)
Yes
No
7.
If no, are you interested in getting active in the GMB?
Yes
No
8.
If interested how can we help you ?
9.
Is the menopause an issue in your workplace?
Yes
No
Don't Know
10.
Are you Interested in running a campaign?
Yes
No
Maybe - send me more information
11.
If so how can we help ?
12.
How would you use the knowledge and skills gained in this training to make your workplace better?