100% of survey complete.
Thank you for taking the time to complete this survey. The information compiled from this survey will be used to create this year’s Membership Profile, a document that provides public officials, potential funders, and prospective members with an understanding of One Voice’s impact and service to the community. 

Before you begin, please gather the following documents:

1. 2015 year-end financials
2. your current budget
3. your volunteer and client statistics

With these documents on hand, completing the survey should take about 15 minutes.

The deadline to complete the membership survey is Wednesday, August 31st.

Thanks again for helping One Voice support you!

Question Title

* 1. Please enter the name of your organization:

Question Title

* 2. My organization serves the following counties:

Question Title

* 3. What is your current operating budget for this year? (Please enter whole numbers - do not enter decimal points.)

Question Title

* 4. Please list your sources of income. (Please enter whole numbers - do not enter decimal points or dollar signs.)

Question Title

* 5. If you listed a source of income as "other" - please clarify.

Question Title

* 6. Please enter the following information:

Question Title

* 7. Total number of full-time equivalent employees (FTE's):

Question Title

* 8. Does your organization pay for health insurance?

Question Title

* 9. Does your organization offer retirement benefits?

Question Title

* 10. Primary Target Issue(s):

Question Title

* 11. In this year's Membership Profile, we would like to include statistics and quotes that demonstrate the impact that our members are collectively having in the community. Below, please share one or more of the following:
  • A brief client quote that correlates with one of the primary target issues listed above
  • Statistics or impact statements from any community collaborations in which you participate that demonstrate the impact of HHS providers in one of the target issues listed above. If you are able to provide a link to the source, please do so.
Note: Please do not submit statistics or impact statements specific only to your organization; we would like to convey a broader sector impact to the extent possible. If you are able to provide a link to the source for statistics or impact statements, please do so. If you have questions about appropriate quotes, statistics, or impact statements, please email info@onevoicecentraltx.org.

Question Title

* 12. Are you willing to be listed on a contact list of One Voice issue area experts for the media, elected officials, and other One Voice members to contact on an ad hoc basis?

Question Title

* 13. Please check off any additional topics on which you are willing to provide peer consultation for other One Voice members.

Question Title

* 14. Optional Question (this information will be used to inform meeting content). My organization would appreciate additional training & support in the following areas:

T