Texas Perfusion Organization Survey

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* 1. Would you participate in a state perfusion society?

Yes

No

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* 2. What areas should a Texas perfusion organization be involved in? Please rate level of importantance.

	Least Important	Somewhat Important	Important	Very important	Most Important
Licensure matters	Licensure matters Least Important	Licensure matters Somewhat Important	Licensure matters Important	Licensure matters Very important	Licensure matters Most Important
Student Scholarship	Student Scholarship Least Important	Student Scholarship Somewhat Important	Student Scholarship Important	Student Scholarship Very important	Student Scholarship Most Important
Networking	Networking Least Important	Networking Somewhat Important	Networking Important	Networking Very important	Networking Most Important
Quality and performance improvement	Quality and performance improvement Least Important	Quality and performance improvement Somewhat Important	Quality and performance improvement Important	Quality and performance improvement Very important	Quality and performance improvement Most Important
Research	Research Least Important	Research Somewhat Important	Research Important	Research Very important	Research Most Important

Other (please specify)

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* 3. How often should a Texas perfusion organization meet?

Monthly

Twice annually

Quarterly

Annually

Other (please specify)

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* 4. Would you be willing to pay dues or a membership fee to participate in a Texas perfusion organization?

Yes

No

Comments

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* 5. What cities/locations would you suggest for Texas Perfusion Organization in person meetings?

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* 6. What additional thoughts or comments do you have about a Texas perfusion organization?