Medical Association Member Survey Form
Please complete this survey to help us improve your experience as a member of our medical association.
How long have you been a member of the association?
*
Less than 1 year
1-3 years
4-7 years
8+ years
What is your primary professional role?
*
Please Select
Physician
Nurse
Medical Student
Researcher
Administrator
Other
How satisfied are you with your membership experience?
*
1
2
3
4
5
Please rate the following aspects of the association:
*
Rows
Excellent
Good
Fair
Poor
Quality of events
1
2
3
4
Professional development opportunities
5
6
7
8
Networking opportunities
9
10
11
12
Communication from the association
13
14
15
16
How likely are you to recommend membership to a colleague?
*
Not at all likely
0
1
2
3
4
5
6
7
8
9
Extremely likely
10
0 is Not at all likely, 10 is Extremely likely
Which association services do you value most? (Select up to 3)
*
Continuing education
Conferences & events
Networking
Advocacy
Research opportunities
Mentorship programs
Other
What is your preferred method of receiving association updates?
*
Email
Mobile app notifications
Website
Printed newsletter
How often do you participate in association activities?
*
Frequently
Occasionally
Rarely
Never
What is one thing you would like the association to improve?
Additional comments or suggestions
Submit Survey
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