Nurses Interest On Boards Question Title * 1. Do you currently serve on any decision-making bodies/boards (e.g., professional nursing organizations/boards, church, school, non-profit, city/county board, health care org, committee, political office)? Yes No Other (please specify) Question Title * 2. Have you ever been elected to a political office (ex: mayor, village board, county board)? Yes No Question Title * 3. Are you interested in serving on a decision-making body/board? Yes No Question Title * 4. Do you feel prepared to serve on a decision-making body/board? Yes No Question Title * 5. Would you be interested in receiving support of some kind (i.e., mentoring, education) to help prepare you for serving on a decision-making body/board? Yes No Question Title * 6. What types of assistance would be helpful? (Check all that apply) Identify an organization on which to serve Understand what I have to offer as a professional nurse General training re: expectations, roles, responsibilities Seek to be mentored by experienced nurse Other (please specify) Question Title * 7. Please list open leadership opportunities you are aware of in your community, health care organization, professional nursing organization, etc. with a copied/pasted link and contact (or name and address). Question Title * 8. Please offer any suggestions you might have to advance nurse leadership in California through political office or community/civic decision-making bodies: Question Title * 9. Please provide your contact information, necessary for baseline statistics. Name: Company: City/Town: Email Address: Question Title * 10. Thank you for taking the time to participate in this survey! Done