CACHC Individual/Student Member Benefits Survey

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* 1. How familiar are you with the work and objectives of the Canadian Association of Canadian Health Centres (CACHC)?

Extremely familiar

Very familiar

Moderately familiar

Slightly familiar

Not at all familiar

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* 2. Were you aware that CACHC is now offering membership for individuals (with special rates for students)?

Yes

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* 3. Please indicate how interested you are in the below Individual/Student Member benefits?

	Very interested	Moderately interested	Slightly interested	Not at all interested
Association newsletter	Association newsletter Very interested	Association newsletter Moderately interested	Association newsletter Slightly interested	Association newsletter Not at all interested
Access to job board	Access to job board Very interested	Access to job board Moderately interested	Access to job board Slightly interested	Access to job board Not at all interested
Invitations and discounted registration for conference and seminars	Invitations and discounted registration for conference and seminars Very interested	Invitations and discounted registration for conference and seminars Moderately interested	Invitations and discounted registration for conference and seminars Slightly interested	Invitations and discounted registration for conference and seminars Not at all interested
Networking opportunities	Networking opportunities Very interested	Networking opportunities Moderately interested	Networking opportunities Slightly interested	Networking opportunities Not at all interested
Social media information and networking	Social media information and networking Very interested	Social media information and networking Moderately interested	Social media information and networking Slightly interested	Social media information and networking Not at all interested
Access to resources and tools	Access to resources and tools Very interested	Access to resources and tools Moderately interested	Access to resources and tools Slightly interested	Access to resources and tools Not at all interested
Ability to join subject area working groups	Ability to join subject area working groups Very interested	Ability to join subject area working groups Moderately interested	Ability to join subject area working groups Slightly interested	Ability to join subject area working groups Not at all interested
Discounts on health related publications	Discounts on health related publications Very interested	Discounts on health related publications Moderately interested	Discounts on health related publications Slightly interested	Discounts on health related publications Not at all interested

Please indicate additional benefits you would value.

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* 4. How likely are you to become an Individual/Student Member in 2013?

Extremely likely

Very likely

Moderately likely

Slightly likely

Not at all likely

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* 5. Would you consider making a donation to help advance the work of CACHC?

Yes, in addition to being a member

Yes, instead of being a member

Other (please specify)

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* 6. If you were to make a donation to support CACHC, what range of contribution would you be comfortable with? If you would not consider a donation, please select $0.

$10-$25

$26-$50

$51-$100

$100+

Uncertain about amount

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* 7. Which of the following best describes your area(s) of work? (select all that apply)

Program Delivery

Research

Management or Executive

Administrative or Financial

Healthcare Practitioner

Student

Other (please specify)

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* 8. At what type of organization do you work or study?

Community Health Centre

Other Health Institution

Other Non-profit Organization/Association

Government

Academic Institution

Foundation/Granting Agency

Professional Trade Association

Private sector business

Other (please specify)

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* 9. In which Province or Territory do you work/study?

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* 10. Tell us more! Please let us know what would get you interested in being an Individual/Student Member or any other comments you have.

The Canadian Association of Community Health Centres (CACHC) is the federal voice for Community Health Centres and community-oriented, people-centred primary health care across Canada.

Thank you very much for your time and feedback. As soon as you click "Done" you will be automatically redirected to a page that enables you to take advantage of your $10 membership discount.