Partner Survey_Basic Information 2010

1. Section 3: Basic Information

NH Voices for Health seeks to bring NH health care stakeholders together to advocate for needed health care reforms in New Hampshire. Please share information about yourself/your organization to help us better work with you.

1. Basic Information:

Basic Information: Name
Title
Organization

2. Where is/are your office(s) located?

Where is/are your office(s) located?

3. How did you first hear about NH Voices for Health? (choose one)

How did you first hear about NH Voices for Health? (choose one) I attended a NH Voices for Health meeting/event

I was contacted by a NH Voices for Health staff member

Newspaper, Radio or Internet

Another group recommended I join

Please list which group, or if there was another way you heard about Voices:

4. Why did you/your organization become involved in NH Voices for Health?

Why did you/your organization become involved in NH Voices for Health?

5. Are you/your organization a NH Voices for Health Partner?

Are you/your organization a NH Voices for Health Partner? Yes

6. If not, would you like to be a NH Voices for Health Partner?

If not, would you like to be a NH Voices for Health Partner? Yes

Maybe