Advisory Committee Member Evaluation Feedback Survey

This survey is designed to help us understand the impact of our program and identify opportunities for improvement. All questions are optional—please feel free to answer as many or as few as you'd like. We encourage you to respond to any open-ended questions that resonate with your experience.

At the end of the survey, there is space to share any additional thoughts on how we can strengthen our work. If you'd prefer to offer feedback directly or continue the conversation in more detail, you are always welcome to contact Cher Castello at ccastello@spipa.org.

Your input is deeply appreciated and helps guide our ongoing efforts.

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* 1. How meaningful is the SPIPA Advisory Committee and cancer control to you and your community?

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* 2. What are you most looking forward to as the Advisory Committee grows? What potential impact do you envision us making in the community?

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* 3. Do you feel you have the information and resources needed to contribute meaningfully?

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* 4. What are your biggest challenges in implementing cancer control work in the communities? What can this committee do to help with this?

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* 5. What accomplishments or contributions are you most proud of from the past year?

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* 6. Do you agree to have your above responses quoted directly in CDC evaluation documents?

Yes

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* 7. Do you agree to have your above responses quoted directly in SPIPA community documents?

Yes

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* 8. In the above quotes, would you like your name listed or remain as an anonymous community member?

Yes, include my name.

No, I want to remain anonymous.

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* 9. Rate how satisfied you are with the following:

	Very Dissatisfied	Slightly Dissatisfied	Neutral	Satisfied	Very Satisfied
Meeting Times and Location	Meeting Times and Location Very Dissatisfied	Meeting Times and Location Slightly Dissatisfied	Meeting Times and Location Neutral	Meeting Times and Location Satisfied	Meeting Times and Location Very Satisfied
Comments:
Communication with Committee Members	Communication with Committee Members Very Dissatisfied	Communication with Committee Members Slightly Dissatisfied	Communication with Committee Members Neutral	Communication with Committee Members Satisfied	Communication with Committee Members Very Satisfied
Comments:
Meeting Facilitation and Agenda Topics	Meeting Facilitation and Agenda Topics Very Dissatisfied	Meeting Facilitation and Agenda Topics Slightly Dissatisfied	Meeting Facilitation and Agenda Topics Neutral	Meeting Facilitation and Agenda Topics Satisfied	Meeting Facilitation and Agenda Topics Very Satisfied
Comments:
Non-Tribal Partner Participation	Non-Tribal Partner Participation Very Dissatisfied	Non-Tribal Partner Participation Slightly Dissatisfied	Non-Tribal Partner Participation Neutral	Non-Tribal Partner Participation Satisfied	Non-Tribal Partner Participation Very Satisfied
Comments:
Workgroups and Projects	Workgroups and Projects Very Dissatisfied	Workgroups and Projects Slightly Dissatisfied	Workgroups and Projects Neutral	Workgroups and Projects Satisfied	Workgroups and Projects Very Satisfied
Comments:

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* 10. Please provide any other feedback you would like to share with us about your experience on the Comprehensive Cancer Control Program Advisory Committee?