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Question Time Vote 2001
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Thank you for your interest in taking part in Question Time.

Would you please fill in the following details.

Your responses will be completely confidential, but they will enable us to invite a representative cross-section of people.

1
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Full name:

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Email address:

2
Have you been on Question Time before?
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If yes, when?

3
How old are you?
16-24 25-34 35-44

45-54 55-64 65+ 
4
What is your occupation?
5
Which of the following categories best describes your occupation?
Senior Management
Middle/Jnr. Management
Clerical/Administration
Skilled Manual
Unskilled Manual
Student
Housewife
Unemployed
6
During the series, we shall be visiting London and various cities and towns around the country.
Would you please name the venues most convenient for you.
7
If there were a General Election tomorrow, which political party would you be most likely to vote for?

Conservative
Labour
Liberal Democrats
Green
Scottish National
Plaid Cymru
Ulster Unionist
Democratic Unionist
Sinn Fein
Social Democrat & Labour
Alliance
Would not vote
Undecided
Other (please state)
8
Which of these groups do you consider yourself to belong to?

White
West Indian
Indian
Pakistani
Chinese
African
Mixed Origin
Other (please specify)
9
Do you consider yourself to have any disabilities?

Yes No
10
If you are disabled, do you require wheelchair access?

Yes No
11
Are you a member of a political party?

Yes No
12
Are you a candidate for any party or local or county election?

Yes No
13
Are you an elected representative or official of any political party?

Yes No
14
You will be invited to put forward two questions. Would you please confirm that you are willing to participate.

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