Membership Self-Evaluation Form
Reflect on your membership experience, engagement, and next steps. Please answer honestly to help us support your journey.
How would you rate your overall satisfaction with your membership?
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1
2
3
4
5
How well do you feel you fit within the organization or community?
*
Not at all
1
2
3
4
Extremely well
5
1 is Not at all, 5 is Extremely well
How frequently do you participate in membership activities?
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Regularly
Occasionally
Rarely
Never
How connected do you feel to other members?
*
Not at all connected
1
2
3
4
Very connected
5
1 is Not at all connected, 5 is Very connected
Which best describes your current membership status?
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Active and engaged
Active but less engaged
Considering a break
Considering leaving
What motivates you to maintain your membership?
Community and networking
Access to resources
Personal growth
Professional development
Events and activities
Other
How likely are you to recommend membership to others?
*
Not at all likely
1
2
3
4
Extremely likely
5
1 is Not at all likely, 5 is Extremely likely
What would you like to see improved or changed in your membership experience?
What is your preferred next step?
*
Continue as is
Increase my involvement
Take a break
End my membership
Not sure
Any additional comments or suggestions?
Submit Self-Evaluation
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