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MHA Member Needs Survey
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1.
Is your hospital an MHA member?
(Required.)
Yes
No
I don't know.
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2.
Is your hospital part of a health system?
(Required.)
Yes
No
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3.
What kind of hospital do you work in?
(Required.)
Rural
Urban
Critical Access Hospital
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4.
How many employees does your hospital have?
(Required.)
1-200
201-600
More than 600
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5.
What is your role at the hospital?
(Required.)
C-Suite
Vice President
Director
Supervisor/Manager
Individual Contributor/Staff Member
Hospital Trustee
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6.
What are the top two issues or challenges you are currently facing in your role?
(Required.)
Most important issue or challenge
Second issue or challenge
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7.
Are these issues being addressed by MHA in some way?
(Required.)
Yes
No
I don't know.
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8.
Are these issues being addressed by other business partners?
(Required.)
Yes
No
I don't know.
9.
If applicable, please list other hospital partners helping with your top two issues.
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10.
Overall, how valuable is MHA membership to you?
(Required.)
Extremely valuable
Very valuable
Somewhat valuable
Not so valuable
Not at all valuable
11.
Do you have any comments, concerns, or issues regarding MHA that you would like to share with us? If so, please share them here.
12.
If you would like to be entered into a $250 gift card drawing, please provide your contact information below.
Name
Email Address
