Kokua Mau Community Survey 2014

Participation in Kokua Mau

Thank you so much for taking the time to answer this brief survey. We anticipate this survey to be 10-15 minutes long. Your answers will be helpful in shaping our activities and scheduling, so be as honest as possible. Please be assured that this survey is intended to get your opinions only and your responses will remain confidential.

To get an idea of the importance of activities offered through Kokua Mau, we'd first like to ask you...

Question Title

* 1. Kokua Mau is involved in a number of educational and networking activities. How important are each of these activities?

	Very Important	Important	Moderately Important	Not Important
POLST Training and Education	POLST Training and Education Very Important	POLST Training and Education Important	POLST Training and Education Moderately Important	POLST Training and Education Not Important
Palliative Pupus	Palliative Pupus Very Important	Palliative Pupus Important	Palliative Pupus Moderately Important	Palliative Pupus Not Important
eNewsletter	eNewsletter Very Important	eNewsletter Important	eNewsletter Moderately Important	eNewsletter Not Important
Website	Website Very Important	Website Important	Website Moderately Important	Website Not Important
Speakers on Advance Care Planning	Speakers on Advance Care Planning Very Important	Speakers on Advance Care Planning Important	Speakers on Advance Care Planning Moderately Important	Speakers on Advance Care Planning Not Important
Monthly Meetings	Monthly Meetings Very Important	Monthly Meetings Important	Monthly Meetings Moderately Important	Monthly Meetings Not Important

Other Activities (please specify)

Question Title

* 1. Kokua Mau is involved in a number of educational and networking activities. How important are each of these activities?

Question Title

* 2. Additional comments including suggestions for future educational and networking activities: