Kentucky Academy of Family Physicians Membership Survey May 2018

The KAFP values your membership. In order to ensure that your needs are being met, please complete the following member satisfaction survey. In consideration of your time, we will place your name in an exclusive drawing that will be held during the All Member Business Meeting* at the KAFP Annual Scientific Assembly on September 28th in Louisville, KY. Make sure you register to attend! You will have the chance to win one of:

5 $150 Visa giftcards
2 Powerbeats³ Wireless Headphones
2 Ring Video Doorbells
2 Amazon Echos
2 My Q Smart Garage Openers
2 Nutribullets (Bluetooth)
1 Nest Thermostat E
1 Go Pro Hero
1 Rumba

*You must be present at the ALL Member Busines Meeting to receive your door prize. Item cannot be mailed.

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* 1. Please provide the following information:

Full name

City/Town

Email Address

Phone Number

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* 2. Please mark your membership status.

Student

Resident

Active

Lifetime

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* 3. Please answer the following:
How long have you been a KAFP member?
How many years in practice after residency?:

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* 4. We want your perspective on value of KAFP membership. Please rate each item below on the following scale:

	not valuable to me	moderately valuable to me	very valuable to me
KAFP as a source of CME	KAFP as a source of CME not valuable to me	KAFP as a source of CME moderately valuable to me	KAFP as a source of CME very valuable to me
KAFP helps me network with other family physicians in Kentucky	KAFP helps me network with other family physicians in Kentucky not valuable to me	KAFP helps me network with other family physicians in Kentucky moderately valuable to me	KAFP helps me network with other family physicians in Kentucky very valuable to me
KAFP membership allows me to be a member of AAFP	KAFP membership allows me to be a member of AAFP not valuable to me	KAFP membership allows me to be a member of AAFP moderately valuable to me	KAFP membership allows me to be a member of AAFP very valuable to me
KAFP advocates for my patients, my colleagues and me at the state and national levels	KAFP advocates for my patients, my colleagues and me at the state and national levels not valuable to me	KAFP advocates for my patients, my colleagues and me at the state and national levels moderately valuable to me	KAFP advocates for my patients, my colleagues and me at the state and national levels very valuable to me
KAFP provides information and resources that enhance my practice	KAFP provides information and resources that enhance my practice not valuable to me	KAFP provides information and resources that enhance my practice moderately valuable to me	KAFP provides information and resources that enhance my practice very valuable to me
KAFP supports its members to be delegates to the AAFP and/or become AAFP Board members	KAFP supports its members to be delegates to the AAFP and/or become AAFP Board members not valuable to me	KAFP supports its members to be delegates to the AAFP and/or become AAFP Board members moderately valuable to me	KAFP supports its members to be delegates to the AAFP and/or become AAFP Board members very valuable to me
KAFP provides leadership development to members who wish to serve the KAFP or AAFP	KAFP provides leadership development to members who wish to serve the KAFP or AAFP not valuable to me	KAFP provides leadership development to members who wish to serve the KAFP or AAFP moderately valuable to me	KAFP provides leadership development to members who wish to serve the KAFP or AAFP very valuable to me
The KAFP Journal is	The KAFP Journal is not valuable to me	The KAFP Journal is moderately valuable to me	The KAFP Journal is very valuable to me

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* 5. As a KAFP member, I also value

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* 6. We also want your ideas on how KAFP might serve you better. Please rate each item on the following scale.

	would probably not be useful to me	could be moderately useful to me	could be very useful to me
Proactively informing me of resources and services available from the AAFP	Proactively informing me of resources and services available from the AAFP would probably not be useful to me	Proactively informing me of resources and services available from the AAFP could be moderately useful to me	Proactively informing me of resources and services available from the AAFP could be very useful to me
Training (paid for by KAFP) to become a facilitator of decreased administrative burdens in clinics and/or hospitals	Training (paid for by KAFP) to become a facilitator of decreased administrative burdens in clinics and/or hospitals would probably not be useful to me	Training (paid for by KAFP) to become a facilitator of decreased administrative burdens in clinics and/or hospitals could be moderately useful to me	Training (paid for by KAFP) to become a facilitator of decreased administrative burdens in clinics and/or hospitals could be very useful to me
Support for learning and practicing mindfulness-based stress reduction and/or other methods for strengthening resilience and combatting burnout	Support for learning and practicing mindfulness-based stress reduction and/or other methods for strengthening resilience and combatting burnout would probably not be useful to me	Support for learning and practicing mindfulness-based stress reduction and/or other methods for strengthening resilience and combatting burnout could be moderately useful to me	Support for learning and practicing mindfulness-based stress reduction and/or other methods for strengthening resilience and combatting burnout could be very useful to me

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* 7. Please write in other ideas on how the KAFP could serve you better.

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* 8. How interested are you in attending an AAFP national leadership conference (ACLF-NCCL) in 2019 or in 2020 at KAFP expense?

Not interested

Would like to learn more

Definitely interested

Not interested

Would like to learn more

Definitely interested

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* 9. Finally, we want your thoughts on live CME delivery via the KAFP. Presume that in each case, CME would include topics of interest to you, and that Two-Day CME events would include Knowledge Self Assessments required for ABFM Maintenance of Certification.

Please rate each item on the following scale:

	Unlikely to attend	Might attend	Probably would attend
Two-day CME event in Lexington, Louisville, or Northern KY/Cincinnati	Two-day CME event in Lexington, Louisville, or Northern KY/Cincinnati Unlikely to attend	Two-day CME event in Lexington, Louisville, or Northern KY/Cincinnati Might attend	Two-day CME event in Lexington, Louisville, or Northern KY/Cincinnati Probably would attend
Two-Day CME event at a Kentucky State Resort Park	Two-Day CME event at a Kentucky State Resort Park Unlikely to attend	Two-Day CME event at a Kentucky State Resort Park Might attend	Two-Day CME event at a Kentucky State Resort Park Probably would attend
Half-Day of CME held closer to my home and focused on fulfilling maintenance of certification requirements and/or topics required by the KBML.	Half-Day of CME held closer to my home and focused on fulfilling maintenance of certification requirements and/or topics required by the KBML. Unlikely to attend	Half-Day of CME held closer to my home and focused on fulfilling maintenance of certification requirements and/or topics required by the KBML. Might attend	Half-Day of CME held closer to my home and focused on fulfilling maintenance of certification requirements and/or topics required by the KBML. Probably would attend

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* 1. Please provide the following information:

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* 2. Please mark your membership status.

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* 3. Please answer the following:How long have you been a KAFP member?How many years in practice after residency?:

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* 4. We want your perspective on value of KAFP membership. Please rate each item below on the following scale:

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* 5. As a KAFP member, I also value

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* 6. We also want your ideas on how KAFP might serve you better. Please rate each item on the following scale.

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* 7. Please write in other ideas on how the KAFP could serve you better.

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* 8. How interested are you in attending an AAFP national leadership conference (ACLF-NCCL) in 2019 or in 2020 at KAFP expense?

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* 10. Other factors that would increase your likelihood of attending live CME sponsored by the KAFP.

* 3. Please answer the following:
How long have you been a KAFP member?
How many years in practice after residency?: