Member Engagement Report Form
Please complete this form to help us assess and improve member engagement within our organization.
Member Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Membership Type
*
Please Select
Regular Member
Associate Member
Honorary Member
Board Member
Other
How long have you been a member?
*
Please Select
Less than 1 year
1-3 years
4-6 years
7-10 years
More than 10 years
How often do you participate in organization activities?
*
Weekly
Monthly
Quarterly
Rarely
Never
Please rate your overall satisfaction with your membership experience.
*
1
2
3
4
5
Please indicate your level of agreement with the following statements:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel valued as a member.
1
2
3
4
5
Communication from the organization is effective.
6
7
8
9
10
I have opportunities to contribute ideas.
11
12
13
14
15
Events and activities meet my interests.
16
17
18
19
20
I would recommend membership to others.
21
22
23
24
25
Which types of activities have you participated in over the past year? (Select all that apply)
*
Workshops/Seminars
Social Events
Volunteer Projects
Committee Meetings
Online Events/Webinars
Other
Please provide feedback on recent events or activities you attended.
What suggestions do you have to improve member engagement?
Submit Report
Should be Empty: