NAHN Policy Committee Survey Section One - Sociodemographics Dear NAHN Member - Thank you for taking the time to complete this survey. The NAHN Policy Committee will compile and present information from this survey at a pre-conference workshop to be held in conjunction with the 41st Annual Conference of NAHN. Data will also be shared with NAHN's leadership in order to create and adjust NAHN strategies, programs and services so that they better serve the membership of NAHN. Thanks for your participation! Question Title * 1. Sex Female Male LGBTI Prefer to leave blank Question Title * 2. Ethnicity Not Hispanic/Latino Hispanic/Latin@ If Hispanic/Latin@ please indicate ethnic identity or ancestry Question Title * 3. NAHN Membership Status National Member Only (At Large) National and Chapter Member Chapter Member Only Non-member If chapter member please specify chapter(s) Question Title * 4. NAHN Member: Number of Years Less than 1 year 1-2 years 3-5 years 6-10 years 11-20 years More than 20 years If you have been a member "on and off" please explain Question Title * 5. Age Under 21 21-30 31-40 41-50 51-64 65-74 Over 75 Question Title * 6. Highest level of nursing education completed LPN/LVN program AA/AS Nursing BS Nursing MS Nursing DNP PhD Current Student (no nursing degree yet) Planning to return to school Other (additional non-nursing degrees, nursing is my second career) If current student or planning to return, please indicate program type Question Title * 7. Are you currently a student PRESENTLY enrolled in a program? LPN/LVN Program AA/AS Nursing BS Nursing MS Nursing DNP PhD Other (please specify) Question Title * 8. Employment Setting: Primary Position Not employed in nursing Retired University/College Hospital (in patient) Community-Based Clinic (out-patient) Home Health Care Long-Term Care Facility Hospice Public health agency Federally qualified health center Correctional facility Other (please specify) Question Title * 9. Salary (estimate your salary from 2015) Less than $10,000 $10,001-20,000 $20,001-30,000 $30,001-40,000 $40,001-50,000 $50,001-60,000 $60,001-99,999 $100,000 or more Question Title * 10. Licensure/Certification (You may select more than one box) Nursing assistant (certified or non-certified) Promotora (Community Health Worker) Medical assistant Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) Registered Nurse (RN) Advanced Practice Registered Nurse (APRN) Clinical Nurse Specialist (CNS) Other (please specify) Question Title * 11. Average Hours Worked Per Week (nursing care) Less than 20 21-30 31-40 More than 40 Not employed in nurse related work at present Retired Next
