Chicago has an increasing number of partnerships between academic institutions and faith-based organizations currently engaged or interested in collaborative research initiatives. The Center for Faith and Community Health Transformation and Northwestern’s Alliance for Research in Chicagoland Communities recently co-facilitated a discussion meeting around this topic. The interest resulted in the formation of a Faith-Based Community-Engaged Research Network. The purpose of this survey is to gather information from a broader group of possible network members/supporters about this work.

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* 1. Contact Information

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* 2. Are you interested in presenting or helping to facilitate a discussion at a future network meeting? (If Yes, enter topic)

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* 3. Type of organization you represent (check all that apply)

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* 4. If you represent a faith community, what is your congregation's size?

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* 5. If you represent a faith community, what is your religious affiliation?

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* 6. Geographic area your organization serves (check all that apply)

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* 7. Population your organization serves (check all that apply)

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* 8. Topical focus of current research or research interests (check all that apply)

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* 9. Topical Focus that you are interested in, but not currently working

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* 10. Are you currently involved in faith-based community engaged research (CEnR)?

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* 11. What is your experience with faith-based community-engaged research?

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* 12. What is your interest in getting involved with this newly forming Faith-based Community-Engaged Research Network? (check all that apply)

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* 13. During the kick off meeting, several interest areas related to faith and community health research emerged. Please indicate your interest areas (check all that apply)

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* 14. Are you interested in convening any of the groups? (check all that apply)

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* 15. What other topics or issues should be discussed at future network meetings?

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* 16. How often should this network meet? (Choose one)

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* 17. What is the best way to distribute information to network members? (Choose all that apply)

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* 18. Do you have space to host an in person meeting for a general network meeting (20-25 people)? If yes, please indicate the following:

If you know of other potential participants for this group, please forward this survey link and ask they complete it too.
Thank you for participating in our survey. Feedback from this survey will be presented during an upcoming Chicago Faith Based Community-Engaged Research Network Meeting. If you want to receive mailings and newsletters from The Center for Faith and Community Health Transformation sign up at https://www.chicagofaithandhealth.org/newsletter-signup-form/




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