The purpose of this questionnaire is to gather information about membership characteristics to guide NCCGAPNA in activities and strategies to enhance membership engagement.

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* 1. National certification: (Check all that apply)

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* 2. APRN specialty area: (Check all that apply)

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* 3. From the list below, please rank the benefits of NCCGAPNA membership that you appreciate:

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* 4. What activities should NCCGAPNA participate in? (Please rank)

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* 5. What can the NCCGAPNA do to help improve recruitment of new members? (Please rank)

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* 6. What kind of continuing education topics interest you? (Check all that apply)

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* 7. What place(s) do you want to hold the chapter meetings? (Check all that apply)

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* 8. We have different committees; on which committee might you consider participating? (Check all that apply)

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* 9. How can NCCGAPNA facilitate your participation in chapter activities, meetings and/or educational offerings? (Please fill in)

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* 10. May we contact you?

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