Survey #2: HLAA Chapter Leaders

Question Title

* 1. Name the chapter you represent, plus the city and state where it meets.

Chapter Name:

City:

State:

Question Title

* 2. Please list your name, email address and phone numbers for the chapter leader records use only.

Name:

email:

Phone Number:

Question Title

* 3. Which of the following best describes your role in the chapter? Please check off all that apply.

President or chapter leader

VP/Treasurer/Secretary/Other Officer

Steering committee or board member

Plan meetings

Run meetings

Identify speakers for meetings

Promote meetings to community

Mentor members / visitors

Attract new members

Plan/manage chapter events

Manage chapter budget

Work on chapter advocacy projects

Other (please specify any other roles you have)

Question Title

* 4. Does the chapter offer HLAA membership as the SOLE requirement for being a chapter member in good standing?

Yes

Question Title

* 5. Select the amount that you charge for an annual chapter membership. If there is no charge for membership, please indicate as a $0.

	$0	$5	$10	$15	$20	$25	$30	$35	Over $35
Annual Chapter Membership Fee	Annual Chapter Membership Fee $0	Annual Chapter Membership Fee $5	Annual Chapter Membership Fee $10	Annual Chapter Membership Fee $15	Annual Chapter Membership Fee $20	Annual Chapter Membership Fee $25	Annual Chapter Membership Fee $30	Annual Chapter Membership Fee $35	Annual Chapter Membership Fee Over $35

Question Title

* 6. Use the selection scroll bar to identify the number of members, volunteers and meeting attendees on average that best represent the counts requested for both this year and last.

	Current Year	Previous Year
Chapter Members who pay for Chapter or HLAA Membership	Chapter Members who pay for Chapter or HLAA Membership Current Year menu	Chapter Members who pay for Chapter or HLAA Membership Previous Year menu
Chapter Members who DON'T pay any membership fees	Chapter Members who DON'T pay any membership fees Current Year menu	Chapter Members who DON'T pay any membership fees Previous Year menu
Average Meeting Attendance	Average Meeting Attendance Current Year menu	Average Meeting Attendance Previous Year menu
Number of Active Volunteers	Number of Active Volunteers Current Year menu	Number of Active Volunteers Previous Year menu

Question Title

* 7. Indicate whether the chapter has a formal program in place for each of the following and if so, what impact each program has had on membership growth.

	NO PROGRAM in place	MARGINAL affect on chapter growth	MODERATE affect on chapter growth	SIGNIFICANT affect on chapter growth
EDUCATION program	EDUCATION program NO PROGRAM in place	EDUCATION program MARGINAL affect on chapter growth	EDUCATION program MODERATE affect on chapter growth	EDUCATION program SIGNIFICANT affect on chapter growth
ADVOCACY program	ADVOCACY program NO PROGRAM in place	ADVOCACY program MARGINAL affect on chapter growth	ADVOCACY program MODERATE affect on chapter growth	ADVOCACY program SIGNIFICANT affect on chapter growth
SUPPORT program	SUPPORT program NO PROGRAM in place	SUPPORT program MARGINAL affect on chapter growth	SUPPORT program MODERATE affect on chapter growth	SUPPORT program SIGNIFICANT affect on chapter growth
SOCIAL program	SOCIAL program NO PROGRAM in place	SOCIAL program MARGINAL affect on chapter growth	SOCIAL program MODERATE affect on chapter growth	SOCIAL program SIGNIFICANT affect on chapter growth
VISITOR WELCOME program	VISITOR WELCOME program NO PROGRAM in place	VISITOR WELCOME program MARGINAL affect on chapter growth	VISITOR WELCOME program MODERATE affect on chapter growth	VISITOR WELCOME program SIGNIFICANT affect on chapter growth
AWARENESS BUILDING in the community	AWARENESS BUILDING in the community NO PROGRAM in place	AWARENESS BUILDING in the community MARGINAL affect on chapter growth	AWARENESS BUILDING in the community MODERATE affect on chapter growth	AWARENESS BUILDING in the community SIGNIFICANT affect on chapter growth
HLAA MEMBERSHIP BUILDING program	HLAA MEMBERSHIP BUILDING program NO PROGRAM in place	HLAA MEMBERSHIP BUILDING program MARGINAL affect on chapter growth	HLAA MEMBERSHIP BUILDING program MODERATE affect on chapter growth	HLAA MEMBERSHIP BUILDING program SIGNIFICANT affect on chapter growth

Question Title

* 8. Will you be attending the HLAA Convention 2014 in Austin?

Yes

Question Title

* 9. There is a chapter leaders' workshop on Wednesday afternoon, June 25, from 2 p.m. to 5 p.m. at the HLAA Convention 2014 in Austin. The agenda for this meeting will include the chapter leaders' consensus on priority topics from the list below. Please indicate your level of interest in each topic.

	Little Interest	Somewhat Interested	Definitely Interested
How to deliver the ultimate EDUCATION program	How to deliver the ultimate EDUCATION program Little Interest	How to deliver the ultimate EDUCATION program Somewhat Interested	How to deliver the ultimate EDUCATION program Definitely Interested
How to deliver the ultimate ADVOCACY program	How to deliver the ultimate ADVOCACY program Little Interest	How to deliver the ultimate ADVOCACY program Somewhat Interested	How to deliver the ultimate ADVOCACY program Definitely Interested
How to deliver the ultimate SUPPORT program	How to deliver the ultimate SUPPORT program Little Interest	How to deliver the ultimate SUPPORT program Somewhat Interested	How to deliver the ultimate SUPPORT program Definitely Interested
How to address members' SOCIAL needs	How to address members' SOCIAL needs Little Interest	How to address members' SOCIAL needs Somewhat Interested	How to address members' SOCIAL needs Definitely Interested
How to build AWARENESS in the community	How to build AWARENESS in the community Little Interest	How to build AWARENESS in the community Somewhat Interested	How to build AWARENESS in the community Definitely Interested
How to build ATTENDANCE at meetings	How to build ATTENDANCE at meetings Little Interest	How to build ATTENDANCE at meetings Somewhat Interested	How to build ATTENDANCE at meetings Definitely Interested
How to motivate attendees to become HLAA MEMBERS	How to motivate attendees to become HLAA MEMBERS Little Interest	How to motivate attendees to become HLAA MEMBERS Somewhat Interested	How to motivate attendees to become HLAA MEMBERS Definitely Interested
How to attract more meeting VISITORS and ENCOURAGE them to be members	How to attract more meeting VISITORS and ENCOURAGE them to be members Little Interest	How to attract more meeting VISITORS and ENCOURAGE them to be members Somewhat Interested	How to attract more meeting VISITORS and ENCOURAGE them to be members Definitely Interested

Please add any topic not covered above, that you would definitely be interested in, if offered.

Question Title

* 10. Please provide as much information as you can, some of which might appear on the HLAA website. If information does not apply, note N/A to confirm.

Chapter Name:

City:

State:

Zip:

Web-Address:

Facebook Address:

Meeting Place's Name:

Street Address:

City/State/Zip:

Day of Month/Time for Meetings:

Primary Contact's Name:

Contact's Title:

email address:

Phone number:

Secondary Contact's Name:

Contact's Title:

email address:

Phone number:

Question Title

* 1. Name the chapter you represent, plus the city and state where it meets.

Question Title

* 2. Please list your name, email address and phone numbers for the chapter leader records use only.

Question Title

* 3. Which of the following best describes your role in the chapter? Please check off all that apply.

Question Title

* 4. Does the chapter offer HLAA membership as the SOLE requirement for being a chapter member in good standing?

Question Title

* 5. Select the amount that you charge for an annual chapter membership. If there is no charge for membership, please indicate as a $0.

Question Title

* 6. Use the selection scroll bar to identify the number of members, volunteers and meeting attendees on average that best represent the counts requested for both this year and last.

Question Title

* 7. Indicate whether the chapter has a formal program in place for each of the following and if so, what impact each program has had on membership growth.

Question Title

* 8. Will you be attending the HLAA Convention 2014 in Austin?

Question Title

Question Title

* 10. Please provide as much information as you can, some of which might appear on the HLAA website. If information does not apply, note N/A to confirm.

Question Title

* 11. Thank you for your feedback. If you have any other comments please note them below.