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Ventura Chapter Member Interest Survey

In order to better match our chapter events to the interests of our members, please take a few moments to complete the following survey. We will go over the results at our next chapter meeting on Wednesday, October 16th, 2019.

If you can't make this event, we'd still love to hear from you!

1. Please rank the following activities according to your interest: Note: for the following table each column is restricted to a single answer across all rows.

	1	2	3	4	5	6	7	8
Career Panels	Rank Career Panels as 1 out of 8	Rank Career Panels as 2 out of 8	Rank Career Panels as 3 out of 8	Rank Career Panels as 4 out of 8	Rank Career Panels as 5 out of 8	Rank Career Panels as 6 out of 8	Rank Career Panels as 7 out of 8	Rank Career Panels as 8 out of 8
CME & Education	Rank CME & Education as 1 out of 8	Rank CME & Education as 2 out of 8	Rank CME & Education as 3 out of 8	Rank CME & Education as 4 out of 8	Rank CME & Education as 5 out of 8	Rank CME & Education as 6 out of 8	Rank CME & Education as 7 out of 8	Rank CME & Education as 8 out of 8
Public health advocacy (including resolution writing)	Rank Public health advocacy (including resolution writing) as 1 out of 8	Rank Public health advocacy (including resolution writing) as 2 out of 8	Rank Public health advocacy (including resolution writing) as 3 out of 8	Rank Public health advocacy (including resolution writing) as 4 out of 8	Rank Public health advocacy (including resolution writing) as 5 out of 8	Rank Public health advocacy (including resolution writing) as 6 out of 8	Rank Public health advocacy (including resolution writing) as 7 out of 8	Rank Public health advocacy (including resolution writing) as 8 out of 8
Social mixers	Rank Social mixers as 1 out of 8	Rank Social mixers as 2 out of 8	Rank Social mixers as 3 out of 8	Rank Social mixers as 4 out of 8	Rank Social mixers as 5 out of 8	Rank Social mixers as 6 out of 8	Rank Social mixers as 7 out of 8	Rank Social mixers as 8 out of 8
Community involvement & volunteerism	Rank Community involvement & volunteerism as 1 out of 8	Rank Community involvement & volunteerism as 2 out of 8	Rank Community involvement & volunteerism as 3 out of 8	Rank Community involvement & volunteerism as 4 out of 8	Rank Community involvement & volunteerism as 5 out of 8	Rank Community involvement & volunteerism as 6 out of 8	Rank Community involvement & volunteerism as 7 out of 8	Rank Community involvement & volunteerism as 8 out of 8
Wellness promotion	Rank Wellness promotion as 1 out of 8	Rank Wellness promotion as 2 out of 8	Rank Wellness promotion as 3 out of 8	Rank Wellness promotion as 4 out of 8	Rank Wellness promotion as 5 out of 8	Rank Wellness promotion as 6 out of 8	Rank Wellness promotion as 7 out of 8	Rank Wellness promotion as 8 out of 8
Advocacy work around supporting Family Medicine scope of practice	Rank Advocacy work around supporting Family Medicine scope of practice as 1 out of 8	Rank Advocacy work around supporting Family Medicine scope of practice as 2 out of 8	Rank Advocacy work around supporting Family Medicine scope of practice as 3 out of 8	Rank Advocacy work around supporting Family Medicine scope of practice as 4 out of 8	Rank Advocacy work around supporting Family Medicine scope of practice as 5 out of 8	Rank Advocacy work around supporting Family Medicine scope of practice as 6 out of 8	Rank Advocacy work around supporting Family Medicine scope of practice as 7 out of 8	Rank Advocacy work around supporting Family Medicine scope of practice as 8 out of 8
Other (please include as many ideas as you'd like in the text box below, as well as specific activities that may fall into one of the above categories)	Rank Other (please include as many ideas as you'd like in the text box below, as well as specific activities that may fall into one of the above categories) as 1 out of 8	Rank Other (please include as many ideas as you'd like in the text box below, as well as specific activities that may fall into one of the above categories) as 2 out of 8	Rank Other (please include as many ideas as you'd like in the text box below, as well as specific activities that may fall into one of the above categories) as 3 out of 8	Rank Other (please include as many ideas as you'd like in the text box below, as well as specific activities that may fall into one of the above categories) as 4 out of 8	Rank Other (please include as many ideas as you'd like in the text box below, as well as specific activities that may fall into one of the above categories) as 5 out of 8	Rank Other (please include as many ideas as you'd like in the text box below, as well as specific activities that may fall into one of the above categories) as 6 out of 8	Rank Other (please include as many ideas as you'd like in the text box below, as well as specific activities that may fall into one of the above categories) as 7 out of 8	Rank Other (please include as many ideas as you'd like in the text box below, as well as specific activities that may fall into one of the above categories) as 8 out of 8

2. What other activities would get you out to a chapter event?

3. Are you interested in a chapter leadership position, or in learning more about what that might entail?

4. Please provide your name: *This question is required.

5. Please provide your email: *This question is required.