TRIO Member Services Survey 2009-2010

Your basic demographic information will only be used to validate membership and to allow TRIO to provide meaningful reports at both the chapter and national levels . . .
Note: Entries marked with an asterisk require a response, while others are optional.

*
1. Note: your personal information will be used only by TRIO and not released to any outside organization.

Note: your personal information will be used only by TRIO and not released to any outside organization. Name (First and Last)
State:
ZIP/Postal Code:
Email Address (or "none"):

*
2. TRIO Chapter name (or "MAL" - Member-at-large - i.e., not affiliated with any specific chapter)(choose from list)

TRIO Chapter name (or "MAL" - Member-at-large - i.e., not affiliated with any specific chapter)(choose from list)

*
3. What is your status (choose all that apply)?

What is your status (choose all that apply)? transplant recipient transplant candidate	donor family member living donor	medical/OPO staff
Other (please specify)

*
4. How long have you been a TRIO member (approx years)?

How long have you been a TRIO member (approx years)?

*
5. How active IN THE PAST have you been as a TRIO member (check all that apply)?

How active IN THE PAST have you been as a TRIO member (check all that apply)? very active in the past (attended meetings and supported projects/events)

Local Leader: have served as chapter committee chairperson

Local Leader: have served as chapter officer

National Leader: have served on a TRIO National committee

National Leader: have served on the TRIO National Board

homebound but support TRIO chapter remotely

slightly active (attended few meetings but supported project/events)

passive member (occasionally come out to events)

support TRIO in name only (never attend meetings nor come out to events)

*
6. How active are you CURRENTLY as a TRIO member (check all that apply)?

How active are you CURRENTLY as a TRIO member (check all that apply)? Very active

Local Leader: Currently a chapter committee chairperson

Local Leader: Currently a chapter officer

National Leader: Currently a TRIO National committee member

National Leader: Currently a TRIO National Board member

homebound but support TRIO remotely

slighly active

passive member

support TRIO in name only

7. If you care to share reasons for any change in your activity level, you may offer them here:

If you care to share reasons for any change in your activity level, you may offer them here:

TRIO Member Services Survey 2009-2010

1. Who are you?

*1. Note: your personal information will be used only by TRIO and not released to any outside organization.

*2. TRIO Chapter name (or "MAL" - Member-at-large - i.e., not affiliated with any specific chapter)(choose from list)

*3. What is your status (choose all that apply)?

*4. How long have you been a TRIO member (approx years)?

*5. How active IN THE PAST have you been as a TRIO member (check all that apply)?