PVACC General Membership Survey Help Make Your Chapter Better Question Title * 1. Have you noticed any major changes in the chapter in the last year? Yes No Better Worse No Difference Comment: OK Question Title * 2. What Current Chapter Supported Programs do you participate in: Gold Star Mothers Monday Treats Tuesday-Thursday Archery Monday-Wednesday Art Classes R/T Cooking Class R/T Swimming R/T Bowling R/T Sailing R/T Air Pistols Local Deep Sea Fishing Trips Annual Fishing Adaptive Ski Lessons at Big Bear L.A. Dodger Season Tickets CA Angels Baseball Excursions Annual Adaptive Sports Expo Summer Picnic Thanksgiving Day Dinner at Hospital Annual Holiday Party Annual Membership Meeting VA National Disabled Veterans Winter Sports Clinic VA Golden Age Games VA National Veterans Wheelchair Games VA Summer Sports Clinic VA Creative Arts Festival VA National TEE Tournament Sports / Rec Grant for Movie, Sports, & Concert Ticket Sports / Rec Grant Non VA events Other (please specify) OK Question Title * 3. What new programs are you possibly interested in the chapter supporting? Computer Class Wood Working Classes Fishing Trips from other ports Skiing Trips at other resorts Cooking Classes in Commercial Studios R/C Cars and Planes Event Motor Sports 5K/ 10K Walk / Run / Roll Chess Tournament Bocce Ball Adaptive Rowing Other (please specify) OK Question Title * 4. Do you follow us on social media (Click all the apply) Facebook Instagram Twitter Linkedin I don't follow Social Media OK Question Title * 5. What area do you visit most on our website (www.pvacc.org) ? About Get Involved Sports & Recreation Resources Photo Gallery I have not been to the website OK Question Title * 6. What are your 5 favorite pages of the current Newsletter, Mar-April Edition of Momentum? If you have not seen it yet, go to www.pvacc.org, click on "ABOUT" and "NEWSLETTER" Page#: Page#: Page#: Page#: Page#: OK Question Title * 7. Are you aware of the revised Chapter Sports & Recreation Grant Policy? Yes No OK Question Title * 8. Do you think you will take advantage of the Sports & Recreation Grant in the next 12 months? Yes No Comments: OK Question Title * 9. Would you be interested in getting more involved in your chapter? Attend General Membership Meetings Volunteer in the Office Serve on a Committee Attend Outings Write Article for Newsletter Work on Web-site or Social Media Accounts Attend Board Meetings (as a visitor) Join Birthday Phone Call Crew Other (please specify) OK Question Title * 10. Any comments, questions, praises or concerns for the Board of Directors? OK Question Title * 11. If you wish to remain anonymous. Simply submit your survey above as is. If you want to share your contact info to help us update our records, please continue then submit. Name Nickname Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number OK Question Title * 12. What USA branch did you serve? Air Force Army Coast Guard Marine Corps Navy Space Force OK Question Title * 13. How would you like to receive the Momentum? Mail a hard copy E-mail an electronic copy Neither I'll pick up in the office OK Question Title * 14. Can we text you information to the above phone number? Yes No OK SUBMIT
