NIARN SURVEY

1. Would you like to be more involved in NIARN by joining one of our committees? Our current committees are:

   Website Committee Program Committee Public Relations Membership Committee Other

If Other, Specify:   

2. Are you willing to travel all directions in the Northern Illinois region for programs? (Mark all that apply)

     North

   South

   West

   Central
    

3. What educational topics would you like NIARN to present?
   
   
    

4. How much lead time do you need to ask for the day off from work, or arrange coverage?
   
   
    

5. Would you like to see NIARN involved in more community activities which support those with disabilities?
    

   1. Which ones?(i.e. MS society, AHA)

   2. What type of involvement?(i.e. sponsor walk-a-thons, participate in already organized events)
      
       

6. If NIARN was more involved with advocacy related activities, would you be more likely to be an active chapter member?

Yes    No

7. What prevents you from being an active chapter member?
   
   
    

8. Are you satisfied with your chapter’s role as the representative of Rehab nurses in the Northern IL region?

   Yes    No  What would you change?