* 1. I usually attend (pick one) monthly meetings per year.

* 2. Things that keep me from attending monthly meetings include: (Check all that apply)

* 3. The best day of the week for the monthly meeting for me would be: (Pick two)

* 4. The best monthly meeting time for me would be:

* 5. The type of speaker I would most like to hear would be:

* 6. I would like to suggest a specific speaker:

* 7. I would like for our meetings to be:

* 8. For the right meeting, I'd be willing to travel up to _____ miles from home.

* 9. Ideally, what would make a great meeting for me would be if it had: