District Event Survey
The POMA District Leadership needs your input regarding your comfort levels with resuming indoor and outdoor in-person events. Your response will support the process.
1.
Name
*
2.
POMA District (If you do not know your district use this link -
https://www.poma.org/poma-districts
)
(Required.)
District 1
District 2
District 3
District 4
District 5
District 6
District 7
District 8
District 9
District 10
District 11
District 12
District 14
Out of State
Student
*
3.
I have completed the COVID vaccination process.
(Required.)
Yes
No
In-Process
*
4.
I am comfortable with attending an in-person INDOOR POMA event in my district.
(Required.)
Yes
Yes, but Venue Dependent
Not at this time
*
5.
I am comfortable with attending an in-person OUTDOOR POMA event in my district.
(Required.)
Yes
Yes, but Venue Dependent
Not at this time
*
6.
How likely are you to attend the following type of event?
(Required.)
Very Likely
Likely
Not Likely
Undecided
Virtual CME
Very Likely
Likely
Not Likely
Undecided
Virtual Social
Very Likely
Likely
Not Likely
Undecided
In-person CME (single credit hour)
Very Likely
Likely
Not Likely
Undecided
In-person Social
Very Likely
Likely
Not Likely
Undecided
In-person CME Conference (multiple credit hour)
Very Likely
Likely
Not Likely
Undecided
Community Volunteer Event
Very Likely
Likely
Not Likely
Undecided
Wellness Event
Very Likely
Likely
Not Likely
Undecided
Other (please specify)
7.
Is there anything else you would like to share with the leadership?
Current Progress,
0 of 7 answered
