NCM Graduate / Exit Survey

NCM Graduate Survey

Dear NCM Graduates, Thank you for taking a moment to complete our survey. We love to hear from our graduates!

Completion of this survey is required for issuance of your final graduation packet which includes your official diploma.

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* 1. Graduate Full Name:

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* 2. Address:

Address line 1:

Address line 2:

City, State, Zip, Country

Email:

Phone:

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* 3. NCM Graduation Date and Degree Level

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* 4. Have you passed the NARM exam?

YES

Comments (did you take an exam other than the NARM exam? If you did not pass the NARM exam, do you plan to retake it and when?)

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* 5. How much time did you spend preparing for the NARM Exam?

less than 1 month

1 - 3 months

3 - 6 months

Other (please specify)

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* 6. Did you take any exam prep classes to prepare for your NARM exam?

Yes

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* 7. If you answered YES to Question 6, which prep class(es) did you take to prepare for NARM Exam? (please elaborate)

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* 8. Date of NARM Exam:

Date / Time

Date

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* 9. Did you pass the NARM Exam on your first attempt at taking the exam?

Yes

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* 10. If you answered NO to Question 9, did you change your preparation/study methods before your next attempt at taking the NARM Exam? (please elaborate)

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* 11. Date of CPM Certification:

Date

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* 12. Do you have a license to practice midwifery in a state or jurisdiction? Please list:

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* 13. In which states do you plan to apply for a midwifery license?

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* 14. Are you working as a midwife?

YES

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* 15. If you are not working as a midwife, are you working in a field related to midwifery?

YES

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* 16. Please briefly describe your work:

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* 17. Were you able to stay in your community (within 100 miles) for 50% of your studies?

YES

Comments, if any:

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* 18. Are you planning to stay and practice midwifery in your community (within 100 miles) once you are licensed?

Yes

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* 19. Please let us know what you are up to. We would love to know your comments, your interests, notes, anything interesting you are working on:

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* 20. How likely is it that you would recommend NCM to a friend or colleague?

Not at all likely

Extremely likely