SCENARIOS
FROM AFRICA Questionnaire To be filled in AFTER you have completed your scenario
If you would
like to take part in the contest BY POST, you can EITHER
a) write
out the questionnaire below by hand, fill it in, and post it with your
SCENARIO to one of the addresses below
OR
b) print
out the questionnaire on this page (3 printed pages) by going to the FILE
menu in the top left-hand corner of your screen, and selecting the PRINT
option. Fill in the printed questionnaire and post it with your SCENARIO
to one of the addresses below
OR
c) download
the questionnaire as a Word document HERE,
print it out (1 printed page), fill it in and post it with your SCENARIO
to one of the addresses below.
Post
your questionnaire and scenario to EITHER:
Scenarios
from Africa
06 BP 9342
Ouagadougou 06
Burkina Faso
OR
Scenarios
from Africa
2552 Shetland Drive
Decatur GA 30033
USA
To fill in
this questionnaire, write on the dots (....) or tick ( X ) the box (
) next to the answers you choose. Your answers will not affect your chances
of winning.
I chose
number ........ from the list of suggested topics.
1. Last name, first name: .........................................................................................
2. Sex (M/F): ............. 3. Age: ............. 4. Country: ...........................................
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?
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)
…………………….………….