Winter CME 2022 Survey-IAFP Membership Question Title * 1. Would you plan to attend a sponsored CME getaway in Hawaii, Mexico or a Cruise in the winter of 2022? Yes No Uncertain Comment Question Title * 2. Please rank the following destinations with 1 being your first choice. Question Title * 3. If yes, would you be willing to make a $500 good faith deposit so that we would be assured of your interest? The deposit would be refunded if we are not able to secure accommodations. Yes No Uncertain Comment Question Title * 4. If you prefer Hawaii, which island would you prefer for such a trip? Please rank in order of preference with 1 being your first choice. Question Title * 5. If you prefer Hawaii, what is the maximum rate per night you would be willing to pay for a hotel room in Hawaii for this trip? (does not include taxes and fees) $400-$500 $500-$600 $600-$700 $700-$800 $800 or more N/A Other (please specify) Question Title * 6. If you prefer Mexico, please rank locale in order of preference with 1 being your first choice. Question Title * 7. How many nights would you prefer for this trip? 5 6 7 8 Other (please specify) Question Title * 8. Assuming this trip will be about a week, when would you prefer to go? Mid January Late January Early February Mid February Late February March (Note, March may be a difficult month due to spring break for many schools) April Other (please specify) Question Title * 9. The amount of CME credits we will be able to offer will vary depending on the length of the trip and the volunteers who agree to speak. Generally, we have offered between 12-16 credits on the winter trips. If you attend this trip, would you be willing to present a one-hour CME lecture(s)? Yes No Comment Question Title * 10. If yes, what topic(s) might you be willing to present? ( we understand this is subject to change) Question Title * 11. Additional comments, suggestion or question are welcome in the space below Question Title * 12. Please leave your name so we can follow up with you. Done