Canterbury Women Researchers Coming Together
(Please Print & Return this Questionnaire at the Nov 21 Breakfast)   
Goals
1.	To support and affirm Canterbury Women in Research.
2.	To assist in connecting research networks – local and global.
3.	To nurture and incubate ideas that will strengthen and empower Canterbury Women.
4.	To encourage women to express themselves through research and other creative activities, particularly in science and education, with deeper penetration into diverse ethnic groups.
5.	To affirm the importance of the research base before proceeding to action/policy making.
Questionnaire (Circle Yes or NO where appropriate)
FULL Name   (include Title)                                       

Email address (print clearly)

Where do you do your research work?

What are your main research interests?

Would you be interested in forming a network with people of connected research interests? Yes  No
Are you interested in joining a multi discipline/cross discipline research networks?   Yes    No
Which network(s) would you be interested in joining – (tick more than one if necessary)

Global	Education	Health	Environment	
Intercultural	Business	Science	Social Science	
Maori	Economics	Science & Engineering	Other?	
Law	Community	Future	Other?	
Are you happy to have your name and email address shared with others in this network? Yes     No
Is a central city meeting venue useful to meet other researchers/networks /groups?  Yes      No
Are you interested to learn more about the United Nations Association Canterbury Branch?  Yes   No
Are you interested to learn more about the Canterbury Women’s Club?   Yes  No
Are you willing to offer to help progress an Interim Planning Group to explore ways forward which address the goals identified above for Canterbury Women Researchers         Yes     No
Other Comments/suggestions/ideas

(Copies of this Questionnaire will be available for you to complete at the Breakfast.)