* 1. Do you currently serve on any decision-making bodies/boards (e.g., professional nursing organizations/boards, church, school, non-profit, city/county board, health care org, committee, political office)?

* 2. Have you ever been elected to a political office (ex: mayor, village board, county board)?

* 3. Are you interested in serving on a decision-making body/board?

* 4. Do you feel prepared to serve on a decision-making body/board?

* 5. Would you be interested in receiving support of some kind (i.e., mentoring, education) to help prepare you for serving on a decision-making body/board?

* 6. What types of assistance would be helpful? (Check all that apply)

* 7. Please list open leadership opportunities you are aware of in your community, health care organization, professional nursing organization, etc. with a copied/pasted link and contact (or name and address).

* 8. Please offer any suggestions you might have to advance nurse leadership in California through political office or community/civic decision-making bodies:

* 9. Please provide your contact information, necessary for baseline statistics.

* 10. Thank you for taking the time to participate in this survey!

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