The Colorado Rural Health Center’s annual membership survey is now open and we invite individuals at all CRHC member facilities/organizations to share their feedback. All responses will be presented in aggregate and individual responses will never be shared or disseminated. We encourage respondents to provide their contact information so that we can follow up if needed. Thank you for your valued membership and feedback.

* 1. Organization Name (optional)

* 2. Respondent’s name (optional)

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

* 4. Please tell us how you rate the 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
Do you feel well-informed about the CRHC and its programs and services

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

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

  Disagree Completely Somewhat Disagree Somewhat Agree Agree Completely
I do not 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

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

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

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

* 10. Please check the Administrative services you anticipate will be of interest to your facility in 2017:

* 11. Please check the Evaluation services you anticipate will be of interest to your facility in 2017:

* 12. Please check the Funding services you anticipate will be of interest to your facility in 2017:

* 13. Please check the Technology services you anticipate will be of interest to your facility in 2017:

* 14. Please check the Quality services you anticipate will be of interest to your facility in 2017:

* 15. Please check the Workforce services you anticipate will be of interest to your facility in 2017:

T