The Colorado Rural Health Center’s annual membership survey is now open and we invite individuals at all CRHC facilities/organizations to share their feedback. All responses will be presented in aggregate and individual responses will never be shared or disseminated. Thank you for your valued membership and feedback.

* 1. How much do you value your membership with CRHC?

* 2. Please tell us how you rate CRHC in the following areas:

  Very Satisfied Satisfied Not Satisfied Unsure
CRHC Staff (knowledge and expertise, communication, helpfulness, etc.)
Providing educational webinars, workshops and events
Overall programs and services
Communication of CRHC events, programs, services and news related to rural health

* 3. Please indicate which forms of communication and/or publications you utilize:

* 4. To what extent do you agree or disagree with the statements below:

  Disagree Completely Somewhat Disagree Somewhat Agree Agree Completely
I have enough time to read communications/publications from CRHC
I receive too many communications/publications from CRHC
CRHC communication/publications add value to our membership
I regularly utilize the CRHC website, white papers and/or infographs

* 5. If you do not plan to renew, please tell us why:

* 6. Please provide suggestions to help CRHC better serve its members:

* 7. What do you think is the most important issue or concern facing your facility?

* 8. Please check the Clinic Services and Resources you anticipate will be of interest to your facility in 2018:

* 9. Please check the Hospital Services and Resources you  anticipate will be of interest to your facility in 2018:

* 10. Please check the Health Information Technology (HIT) services you anticipate will be of interest to your facility in 2018:

* 11. Please check the Quality Improvement Programs and Initiatives you anticipate will be of interest to your facility in 2018:

* 12. Please check the Events you anticipate will be of interest to your facility in 2018:

* 13. Please check the Workforce Services and Resources you anticipate will be of interest to your facility in 2018:

* 14. Who is the contact at your facility serving as CEO/Executive Director/Administrator (Name and Title)?

* 15. CEO Phone Number

* 16. CEO Email

* 17. Who is the contact at your facility serving as Clinic Director/Manager (Name and Title)?

* 18. Clinic Manager Phone Number

* 19. Clinic Manager Email

* 20. Who is the contact at your facility for Health Information Technology (HIT) matters (Name and Title)?

* 21. HIT Contact's Phone Number

* 22. HIT Contact's Phone Number

* 23. Who is the contact at your facility for Quality Improvement matters (Name and Title)?

* 24. Quality Contact's Phone Number

* 25. Quality Contact's email

* 26. Who is the contact at your facility for Workforce and/or Human Resource matters (Name and Title)?

* 27. Workforce Contact's Phone Number

* 28. Workforce Contact's email

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