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WPA Membership Survey 

We are proud to have your organization as one of the 400 WPA member organizations from 116 countries of the world.  To best serve your organization, and all of our members, please take this brief survey to help us understand your organization’s needs and opportunities for partnership. We hope our members are staying safe and healthy during these challenging times.

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* 1. Name of organization

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* 2. Country

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* 3. Year Established

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* 4. Number of patients, caregivers, other stakeholders served by your organization annually.

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* 5. Name of person filling out the survey

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* 6. Position 

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* 7. Email Address 

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* 8. Phone Number 

Please rate your organization’s involvement and success in the following areas.  Please mark each one with what applies to your organization.  

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* 9. Advocacy 

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* 10. Awareness 

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* 11. Fundraising /working with funders 

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* 12. Capacity building for your organization

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* 13. Access to health care

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* 14. Healthcare delivery (e.g. running a treatment center)

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* 15. Outreach services (e.g. providing home based patient care services)

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* 16. Information to patients and families

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* 17. Education of patients 

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* 18. Education of health care providers

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* 19. Clinical trials 

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* 20. Rare diseases 

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* 21. Patient safety 

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* 22. Patient centered healthcare

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* 23. Non-communicable diseases

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* 24. Health technology assessment

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* 25. How do you address disparities in health care access in your organization/country? (Check all that apply)

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* 26. What was your organizations main struggle in 2022? (Check all that apply) 

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* 27. Is COVID still a problem for your organization and patients?

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* 28. If yes, give reasons (check all that apply)

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* 29. What can World Patients Alliance (WPA) provide your organization to stay informed and serve your communities and patients better? (Check all that apply) 

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* 30. Please share any additional comments on how WPA can best support your organization, or general comments:

Thank you for taking the time to fill out the survey. We want to help you and this information allows us to better understand where you need help.

If you have any questions regarding this survey, please contact WPA Office office@worldpatientsalliance.org
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