Exit NAQC Membership Feedback Question Title * 1. Which of the following categories best describes your role in quitlines? State/provincial quitline funder Quitline service provider Federal agency that supports quitline services and/or research National organization that supports quitlines and tobacco control Researcher Other (please specify) Question Title * 2. Rank the following NAQC programs in the order of importance to you in your work (1-very important to 5 – least important)? 1 2 3 4 5 Quality Improvement Initiative (quality issue papers and resources) 1 2 3 4 5 Research (Annual Survey Data and MDS) 1 2 3 4 5 Medicaid Match Activities 1 2 3 4 5 eReferral Implementation Work 1 2 3 4 5 Public-Private Partnership Development Question Title * 3. What do you most value about membership in NAQC? Question Title * 4. What is your preferred method of receiving information and updates from NAQC? (please choose top 2) regular topic-specific e-bulletins monthly issues of Connections member-only networking Listserv interactive webinars NAQC in-person conferences NAQC website Question Title * 5. What are your suggestions for improving NAQC membership process and/or activities and resources for members? Question Title * 6. Would you be interested in participating in an orientation/refresher call with NAQC staff to ensure you are getting the most out of your membership with NAQC? Yes No If yes, please tell us what topic(s) you would like us to review and the best way to contact you to schedule the call. Thank you for participating. Your feedback will ensure we are are responsive to your needs and are able to distribute new resources to you in the most efficient way! Done
