NASW-Illinois Chapter Northeastern District Member Survey

A survey from your new Northeastern District Rep. Lynn R. Zakeri, LCSW

Please tell me what is important to you in terms of CEU events! They are free for NASW members, so I want to learn what our district is looking for. Please take this 2 minute survey.

ONE LUCKY RESPONDENT WILL WIN A $25 STARBUCKS GIFT CARD JUST FOR COMPLETING THIS!

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* 1. I would like to see district events on these topics (select all that apply):

Addiction

Insurance

EAPs

Trauma

Psychotropic Drugs

The Business of Private Practice

Social Work in a Secondary Environment

Hospice Care

Eating Disorders

EMDR

DBT

Motivational Interviewing

Compassion Fatigue

Personality Disorders

Stress Management

Telehealth

Suicide

Marriage and Couples

Working with a specific population (Write in population below):

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* 2. If you know a speaker that can present on any of the topics you selected above, please note them here:

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* 3. I would like a district event on ethics as it pertains to:

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* 4. I would like a district event on cultural competency as it pertains to:

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* 5. I would like to suggest this location for a future district event:

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* 6. I believe it is important that CEU events include networking time built-in.

Yes, I agree.

No, I disagree.

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* 7. Are you interested in assisting with future district events?

Yes, I would like to help out.

No, I do not have the time to help organize more events in my district.

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* 8. Submit your name and contact info if you wish to be entered in the prize drawing for a FREE $25 Starbucks gift card!

Name

Email Address

Phone Number