PENS Advocacy Membership Survey

A number of members expressed interest in and curiosity about health policy at the National Conference. PENS is considering developing a policy advocacy group within PENS to stay abreast topics related to and affecting families we serve. To get started we want to get a sense of what type of information and what functions this group would serve, in addition, we want to know what level of involvement would be important to you. Please take a moment to complete this short survey.

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* 1. What would you like the group to accomplish? (Select all that apply)

Educate and update members on current policy related agenda items in the news or currently in action.

Provide form letters to send to local, state or federal legislators regarding current policy related issues.

Have a list of ways to “take action” on local, state, federal, international issues.

Collaborate on drafting position papers.

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* 2. Would you like a quarterly list or newsletter of pediatric endocrine related policy items in the news, or currently in action?

Yes

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* 3. What would you like policy related information to focus on? (Select all that apply)

Local Issues

State Issues

Federal Issues

International Issues

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* 4. If there are additional ways you would like to see this group support your community, please provide your thoughts here:

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* 5. Would you like to be involved in this group? If so, please submit your contact information here:

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number