Survey

1. Your Name

2. Membership Status Required Question

	Current Coalition Member
	On Mailing List (but not active in coalition)
	Interested in Joining

3. What type of sector(s) best describes you? Required Question

4. Which substance abuse issues do you feel are most important for us to address? (select your 1st, 2nd and 3rd choice). Required Question

5. If you have attended a coalition meeting in the last year, please provide feedback on the following items:

	Excellent	Good	Fair	Unacceptable
Agenda & Minutes
Flow of the meeting
Achievement of meeting goals
Sector Sharing portion of the agenda
Comfortable place to provide feedback/ideas
Opportunities for networking
Opportunities for learning
Opportunities to expand involvement in the coalition activities

6. How would you like to get involved in coalition efforts over the next year? Required Question

7. We are very interested in your feedback as how the partnership can improve. Please provide your insight here.

Online Surveys powered by SurveyGizmo

	Assist with Youth advisory group
	Serve as an Executive Committee Position
	Present at coalition meeting about agency/company
	Provide volunteer time for a coalition sponsored event
	Write or submit a letter to the editor about a policy issue
	Attend training
	Marketing Committee member
	Underage Drinking Committee
	Marijuana Committee
	Tobacco Committee
	Assessment Committee
	Finance/Fundraising Committee