Indiana Center for Parish Nursing FCN Survey

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* 1. Please enter your name:

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* 2. Please enter your email address:

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* 3. Have you completed the Faith Community Nursing Foundations course?

Yes

I'm not sure

I'm a nurse but haven't completed the course

I'm not a nurse

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* 4. If you answered yes, what year did you complete your Faith Community Nurse Foundations Course?

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* 5. Are you currently practicing faith community nursing?

Yes

Other (please specify)

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* 6. If yes, what setting do you practice?

Faith Community

Not For Profit

Community Organization

Hospital

Extended Care Facility

Other (please specify)

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* 7. We would like to offer you networking opportunities and local resources but to do this, we will need you to provide your home zip code.

Thank you for taking the time to complete this survey. We are excited for our future as faith community nurses and can't wait to connect with you soon.