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* 1. What best describes your relationship with AOCPMR?

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* 2. My practice focus by percentage is

  0-25% 26-50% 51-75% 76-100%
Physiatric
Musculoskeletal
Neuromuscular(EMG)
In Patient
Pediatric
Cardiopulmonary
Amputee
TBI
Spinal Cord
General Rehab
OMT
Other

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* 3. If you answered other above, please explain.

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* 4. The mission of the AOCPMR is to provide value added services to its members in the areas of advocacy, education and practice. AOCPMR values camaraderie, excellence and quality as it lives its mission.

Do you feel this mission statement is true, clear and current?

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* 5. The following areas of activity are the current strategic focus of AOCPMR. Do you believe that AOCPMR should continue to focus on these areas over the next three years?

  Yes No No Opinion
Advocacy & Legislation
Communications
Education
Fiscal Health
Membership
Organizational Structure

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* 6. Should AOCPMR pursue other and/or additional strategic areas?

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* 7. AOCPMR provides the following programs. Do you believe AOCPMR should continue or discontinue:

  Continue Discontinue No Opinion
Spring Mid Year Meeting
Interventional Pain Course
AOA Annual Meeting
Newsletter
Medical Student Conference
Mentorship Program

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* 8. What is your activity level with the following AOCMPR services?

  High (several times/month) Moderate (past six months) Low (past 12 months) Very low (past 24 months) No activity
AOCPMR Website
AOCPMR Facebook Page
AOCPMR CME Programs
Interacting with AOCPMR Staff

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* 9. If you could change three things about AOCPMR, what would they be?

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* 10. Why are you or why aren’t you a member of AOCPMR?

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* 11. Please provide any additional input on any topic not covered in prior questions that you believe would be of value regarding the future of AOCPMR.

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