Wilder evaluation form

Thank you for taking action for nature. By completing the form below you'll be helping us capture your journey, and evaluate our own methods for getting people involved. Please follow the prompts and complete all relevant parts of the form.

We will ask you to fill out an evaluation form every six months so we can track your progress with how you’re becoming wilder.

As a thank you for being a part of Team Wilder and filling out this form we'd like to gift you a Window Sticker or a Wilder Plaque that you can proudly display in your wild space for all your community to see. Please provide us with the details for your plaque in the last section of this survey.

About you

First name

Last name

Street address

Post town

Postal code

Email address

Phone number

Are you a member of Hampshire & Isle of Wight Wildlife Trust?

Yes

Your attitude towards nature

Please tick the relevant box below to indicate to what degree you agree or disagree with the following statements:

I always find beauty in nature

I always treat nature with respect

Being in nature makes me very happy

Spending time in nature is very important to me

I find being in nature really amazing

I feel part of nature

Your involvement with nature

Please read the statements below and think about occasions when you had the opportunity to engage in these behaviours. Click the box that best describes your own behaviour.

I volunteer with a conservation organisation in habitat management work

I volunteer with a conservation organisation in another area not mentioned above (e.g. fundraising, education, etc.)

I participate in organised clean-up events

When I see litter, I pick it up

I vote for nature or wildlife conservation friendly legislation in local or national referendums/votes/etc.

I attend local council/local authority meetings about nature conservation issues

I sign petitions supporting nature conservation efforts

I get in touch with local authorities on nature conservation issues

I vote for parties/ candidates with strong pro-nature conservation policies in elections

What you do in your garden

Please select the most appropriate statement

In your garden/ land, how often do you do the following?

I plant pollinator friendly plants

I plant plants with different flowering seasons

I avoid using insecticides

I add log piles or other materials that can be used as a home/ shelter by wildlife

I leave an undisturbed/unmaintained area for wildlife

I maintain plants with berries/fruits

I plant native plants

I avoid cutting/ trimming hedges during bird breeding season (March-July)

I provide food for wild animals such as birds

Your involvement with Team Wilder

What do you plan to do as part of Team Wilder? Please record your #Wilder pledge here.

Pledge

Would you like a wilder plaque or window sticker?

As a thank you for being a part of Team Wilder, we'd like to gift you with a Wilder Plaque that you can proudly display in your wild space for all your community to see. We'll send you one plaque to the posting address you've provided. If you'd like us to send you multiple plaques for your community group, please provide further details.

* Please Note * We are out of stock of all Wilder Hampshire plaques. We expect a restock in early-mid summer. If you'd like to be put on a waiting list for a Wilder Hampshire Plaque, please let us know. Our window stickers are the same design as the plaques if you'd rather have those.

I'd like a wilder plaque

I'd like a window sticker

I'd like plaques for my community group

I don't need a plaque or sticker

Please provide details of your community group and how many plaques you'd like for them.

Window sticker or plaque will be displayed in

Street:

Town:

Thank you for caring about wildlife in Hampshire & Isle of Wight. By filling in this form, you agree to be contacted by us every six months so we can track your progress with how you’re becoming wilder. You can opt out from this at any time by emailing Wilder@hiwwt.org.uk.

Hampshire & Isle of Wight Wildlife Trust will never sell your contact details to another organisation or share data with other charities for marketing purposes.

We’d love to keep you updated by email on Team Wilder and all of its activities.

Would you like to subscribe to the Team Wilder newsletter?

You can unsubscribe at any time. If you are already subscribed, but wish to cancel your subscription, clicking "No" here will not unsubscribe you. Please email Wilder@hiwwt.org.uk.

Yes, please

No, thank you

We’d love to keep you updated on all of the Trust's activities to get involved in, campaigns we run, and our latest news.

I am happy to be contacted by Hampshire & Isle of Wight Wildlife Trust about conservation, membership, fundraising and other activities by:

Post

Phone

Thank you for taking the time to complete this survey.