Association Survey

How long have you been a member of our association?

Less than 6 months
6 months to a year
1 -2 years
3 - 4 years
Over 4 years

Which of the following events have you attended?

Networking Events
Annuals
Breakfast Speaker Events
Special One-Time Events

How would you rate each of the following?

Excellent Good Fair Poor

Conferences

Newsletters

Special Events

Benefit Programs

Overall how satisfied have you been with the association?

Very Satisfied
Somewhat Satisfied
Neither Satisfied Nor Dissatisfied
Not Very Satisfied
Not At All Satisfied

Do you have any suggestions to help improve the association?

Why did you first join the associatioin?

Networking
Member Benefit Program
Annual Event Discounts
Breakfast Speaker Events
Other

Please supply us with your contact information (optional).

Name

Title

Oranization

Address

City, State Zip

E-Mail

Phone

Fax

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