GenderMaleFemale
What age bracket are you in?19 or under20 to 2526 to 3031 to 3536 to 4041 or over
What industry do you work in?AgricultureManufacturing or miningEngineeringRetailFinance or InsuranceElectricity, Gas & Water supplyConstruction or tradeRetail, accommodation, cafes or restaurantsTransport & storageCommunication servicesProperty or business servicesLegalGovernmentEducationHealth or community servicesCultural or recreation servicesStudentOther - please specify:
What category best describes your position at this organisation?Manager or AdministratorOwner or OperatorSelf Employed / FreelancerProfessionalTradesperson or related workerStudentOther - please specify:
Which of the following best describes you?Born and raised in the Mildura region and have lived here all my lifeBorn and raised in the Mildura region, relocated for a period of time and have returnedMoved to Mildura region less than 1 year agoMoved to Mildura region 1-2 years agoMoved to Mildura region 2-3 years agoMoved to Mildura region more than 3 years ago
If you moved or relocated to the Mildura region, where was it from?MelbourneAdelaideRegional VictoriaRegional New South WalesRegional South AustraliaOther - please specify:
If you moved to the Mildura region, why did you decide to move here (check all that apply)? For work For family For lifestyle Other - please specify:
How did you find out about the MYPNWord of mouthThrough workBy EmailBrochureWebsiteOther - please specify:
What would you like to get out of being part of the MYPN (check all that apply)? Networking Meeting new people Social functions Education & professional development Community involvement Listen to guest speakers Other - please specify:
If you selected "Education & Professional Development", what specific topics would you be interested in (check all that apply)? Public speaking PowerPoint Presentations Email Marketing Time Management Work/Life Balance Goal setting IT (eg. website creation / tips) Other - please specify:
Please indicate below MYPN events you have attended and your feedback on that event After work drinks April 2009 Speed networking event at Wentworth
What prohibits you from attending MYPN events?Too busyNot interested in attendingWorkInconvenient timesFamily commitmentsOther commitmentsOther - please specify:
What day and time of the week would suit you best to attend a MYPN event?MondayTuesdayWednesdayThursdayFridaySaturdaySunday Early Morning (8:00am to 10:00am)Late Morning (10:00am to 12 midday)Early Afternoon (12 midday to 2:00pm)Mid Afternoon (2:00pm to 4:00pm)Late Afternoon (4:00pm to 6:00pm)Evening (6:00pm to 8:00pm)Night (After 8:00pm)
Please list the type of social & networking events would you like the MYPN to organise for you?
What type of community involvement projects would you like the MYPN to become involved in?
What would you like to see the MYPN improve?
What opportunities do you see for the MYPN?
If you have any ideas, feedback or suggestions for the MYPN please list them below.
If you are not already on the MYPN mail out list and would like to be, please list your name, phone number and email address below.
Are you interested in joining the MYPN committee?YesNoAlready a member
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