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Survey on Global Environmental Issues

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Becoming a respondent of the questionnaire


Becoming a respondent of the questionnaire
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Questionnaire on Environmental Problems and the Survival of Humankind
The survey is open to persons who concern with the earth environment. If you wish to respond to the survey, please fill the register form below.
We really appreciate your response to the questionnaire because it helps raising the environmental awareness of people in the world.

Items with asterisks are required.
* Your personal information will be carefully handled by the Foundation and will only be used for the purpose of this survey.
* This registration form uses SSL encryption, ensuring that your personal information is transmitted as securely as possible.
Full Name *
Title(Dr., Prof.,etc) *
Gender *     
Affiliation *
Other: Please specify.
Organization *
Section
Position held
Postal address
Country *
E-mail address *
E-mail
(Re-enter to confirm)  *


    

Questionnaires are sent out in April with a return deadline of May 31 every year.