2018 National Nurses Week Theme Survey Question Title * 1. The ANA would like you input in selecting the official theme for National Nurses Week 2018. What theme below do you like best? We are Nurses: Standing Up, Speaking Out Nurses: Inspire, Innovate, Influence Nurses: Standing Up, Speaking Out, Always Caring Nursing: The Power of Our Voice None of the Above Provide any comments/suggestion to theme choices if desired. Question Title * 2. Did you order Nurses Week gifts from ANA/Jim Coleman, Ltd. in 2017? Yes No I Do Not Know Question Title * 3. Please check what applies best to role in Nurses Week gifts: I purchase gifts for myself or a friend I purchase for a staff of 5-25 I purchase for a staff of 26-100 I purchase for a staff of 101-250 I purchase for a staff over 250 None of the above Other (please specify) Question Title * 4. With regard to your Nurses Week 2018 gifts, please tell us what products you would like to see or what we can improve to better serve your needs. Question Title * 5. What method do you prefer to review and order Nurses Week products: Website Printed Catalog Both Website and printed Catalog PDF I do not order Nurses Week products Question Title * 6. When do you prefer to start planning your gift purchase for Nurses Week? January February March Early April Late April I do not purchase Nurses Week gifts Question Title * 7. To be included on the Nurses Week Gift mailing list, please provide your contact information. Name: Company: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: Thank you for your input. Please press the "Done" button below when you are finished. Question Title * 8. Do you plan on ordering gifts for Nurses Week in 2018? Yes No I do not know Done