If you would like to take part in the contest by e-mail, you can EITHER

a) open an e-mail message to contest@scenariosafrica.org (e.g. by clicking on this link) and write "SCENARIOS Contest" in the Subject Line. Select all the text in the questionnaire below, and copy and paste it into the e-mail message. Type your answers to the questions where the dots are. For those questions that ask you to choose between two or more possible answers (IN CAPITALS), just delete the answers that do not apply to you. Next, paste your SCENARIO into the message (or attach it to the message) and send the message to us.

OR

b) download the questionnaire as a Word document by clicking HERE. Type your answers where the dots are. For those questions that ask you to choose between two or more possible answers (IN CAPITALS), just delete the answers that do not apply to you. Save the document and then send it as an e-mail attachment along with your SCENARIO to contest@scenariosafrica.org. Please write "SCENARIOS Contest" in the Subject Line of your message.

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QUESTIONNAIRE

I chose number ........ from the list of suggested topics.

1. Last name, first name: .........................................................................................

2. Sex (M/F): ............. 3. Age: ............. 4. Country: ...........................................

5. Complete address and e-mail address: ............................................................

......................................................................................................................................

6. Is there a telephone number where we can reach you? YES/NO

7. If your answer is YES, what is that phone number?....................................

8. What kind of phone number is that (choose one)?

YOUR HOME PHONE / YOUR OWN MOBILE (CELL) PHONE / THE MOBILE OF A FRIEND OR RELATIVE / THE PHONE AT YOUR SCHOOL OR WORKPLACE / OTHER (PLEASE SPECIFY)…………….………….

9. If you have an e-mail address, what is it?

.....................................................................................................................................

10. How would you describe the place where you now live (choose one)?

THE CAPITAL CITY / SUBURB OF THE CAPITAL / ANOTHER BIG CITY / A SMALL OR MEDIUM-SIZED TOWN / A VILLAGE

11. Are you enrolled full-time at a school or training centre? YES/NO

12. If your answer is YES, what is the name of your school or training centre?

.......................................................................................................................................

13. What is your class level?

.......................................................................................................................................

14. Do you have a television in your home? YES/NO

15. How are you participating in the contest (choose one): ALONE / IN A TEAM

If you are participating in a team, please state : (counting yourself in these figures)

15.1. The number of members in your team : ................

15.2. The number of boys/men in your team : ...............

15.3. The number of girls/women in your team : ..............

15.4. The number of team members currently enrolled full-time at a school or a training centre : ..................

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