SC15 Survey Questionnaire 1 Data Privacy Statement2 SC15 Survey Questionnaire Shell Club 15+ (SC15+) values the protection of the information you voluntarily provide as members of SC15+ and the information accumulated during the various club activities. The club applies reasonable security measures to protect your information in storing and processing your information. To provide the desired service to members, SC15+ needs the members' latest information. There are 2 reasons for this document, namely, 1) to request your latest information based on the list below, and 2) the club is conducting a survey to provide inputs to our Discussion Series topics. Below is the list of information that you need to provide so that SC15+ can continue extending its programmed services to you. If you choose not to update your information, the club may take measures regarding support the club can extend to you. Name Date of Birth Address Civil Status Email Address Phone / Mobile Number By providing the above information and agreeing to the survey, you consent for SC15+ to process and store the information you provided. The club will store personal and sensitive personal information in a secured cloud-based drive where access is restricted according to the role assigned to the Board of Trustees and the Secretariat. Data will be stored for 5 years from the date the member has withdrawn his/her membership to the club or according to the parameters set by the President of SC15+ in the Records Management Policy. Members of SC15+ are welcome to view, review and amend the information they have agreed to share with the club in accordance with the rules of the National Privacy Commission (NPC). For further details, kindly refer to the Data Privacy Policy found in SC15+ website. * Click on the box if you agree to this Data Privacy Statement and consent to voluntarily share your personal and sensitive personal information. Dear SC15 Member, We are updating our records and we would request you to please provide below information. Last Name*First Name*Middle Name*Nickname*Email* Mobile Number*Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address*Civil StatusSingleMarriedWidowedLegally SeparatedSC15 Survey We value your inputs. To help us prepare interesting topics in our Discussion Series, we would like you to respond to a short survey below: A. Gender*MaleFemaleB. Age*50 & Below51-6061 -7071 & aboveC. Please select below (all that applies). I am interested to learn about the following : 1. Health and Wellness Brain Health / Mental well being Physical Well Being /Exercise Nutrition/Food as Medicine Power of Sleep Naturopathy/Functional Medicine Understanding Dementia and Preventing Alzheimers Disease Complications of Diabetes – “Ang Sweet mo Naman” Heart (Cardio) Health – Ang puso mo! Kidney Health – Bato Bato sa Langit Palliative Care 2. Financial Learning & Personal Growth Usapang Negosyo - Starting a Business/Success Stories of Retirees with small/medium/large scale business Success Stories of Retirees with second career after Shell Monetizing Social Media Investing 101 SSS Pagibig Philhealth Benefits Crypto, NFTs, etc 3. Technology Cybersecurity Part II Artificial Intelligence(AI), ChatGPT etc 3D Printing 4. Environment Upcycle, Reuse & Recycle Carbon Capture Technology Alternative Sources of Energy Solar PV Systems for Residential Use 5. Others Gardening Indoor and Outdoor Healthy Cooking Community Activities Other topics/suggestions:To ensure active participation in SC15 activities, please answer below: (optional)1. I am interested to join the following committee: Ways and Means (handles fundraising activities) Fellowship (Xmas parties, outreach etc) Membership Others (Please specify) 2. I am willing to share my knowledge and experience on: Financial Planning Leadership Business/Entrepreneurship Arts & Crafts Health & Wellness eg Sports, Eating Healthy etc Others (Please specify) This iframe contains the logic required to handle Ajax powered Gravity Forms.