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Questionnaire template

Membership Application

Collects new members' contact details, interests and preferences for benefits, communication and events.

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Nonprofit · Community. All Nonprofit templates

Questions in this template

About You

  1. Thank you for your interest in becoming a member. This form helps us process your application and learn how we can best support you.

  2. What is your full name?

    Open answer

  3. What email address should we use to contact you?

    Open answer

  4. What is your gender?

    Choose one:

    • Female
    • Male
    • Non-binary
    • Prefer not to say

  5. In what year were you born?

    A number from 1900 to 2012

  6. What are your main interests and pastimes?

    Open answer

Membership Preferences

  1. Which membership benefits appeal to you?

    Choose any that apply:

    • Members-only content
    • Networking with other members
    • Workshops and webinars
    • Discounts on products or services
    • Other

  2. What other benefit would you like?

    Condition: Only when Other was selected

    Open answer

  3. How would you like us to contact you?

    Choose any that apply:

    • Email
    • Phone
    • Text message
    • Social media

  4. What phone number should we use?

    Condition: Only when phone calls or text messages were chosen

    Open answer

  5. How often would you like to hear from us?

    Choose one from a list:

    • Daily
    • Weekly
    • Every two weeks
    • Monthly

Getting Involved

  1. Could you usually attend events at these times?

    • Weekdays, 9 am to 5 pm
    • Weekdays, 5 pm to 9 pm
    • Weekends, 9 am to 5 pm
    • Weekends, 5 pm to 9 pm

    For each row: choose one:

    • Yes
    • Not sure
    • No

  2. What topics would you like our events or content to cover?

    Open answer

  3. How well do our current member offerings match your interests?

    Choose one:

    • Not at all well
    • Slightly well
    • Moderately well
    • Very well
    • Extremely well

Last Questions

  1. How did you hear about us?

    Choose one:

    • Internet search
    • Social media
    • A friend's recommendation
    • An advertisement
    • Other

  2. Where else did you hear about us?

    Condition: Only when Other was selected

    Open answer

  3. Would you be willing to take part in future surveys or feedback sessions?

    Choose one:

    • Yes
    • No