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TOPIC: Draft: New member survey (have a look)

Draft: New member survey (have a look) 04 Jun 2008 05:56 #69

  • holly_stevens
  • holly_stevens's Avatar
Here in the North Carolina Piedmont with the help of the FCA chapter in the Triangle area, we're having a meeting tomorrow to see if there is sufficient interest to form a new chapter. I thought it might be worthwhile to distribute a survey to those who come as a way of identifying their interests and skills, to help in planning the chapter's initial projects and involving members in appropriate ways.

I'd appreciate it if you'd have a look at this draft of a survey and let me know what you think. Am I leaving out anything obvious?

Thanks to all,
Holly Stevens

Name: _________________________________________________________
Address: _________________________________________________________
___________________________________ NC __________________
Phone number(s): ( ) ___________________ ( ) _____________________
Email: ______________________________@________________________________

How did you learn about Funeral Consumers Alliance?
_____________________________________________________________________

What do you hope a Piedmont Triad chapter would offer you?
_____________________________________________________________________

What level of involvement would you like to have in the chapter?
_____________________________________________________________________


What are your interests? (Check all that apply.)
The word “disposition” refers to any method of final placement of one’s bodily remains, whether burial, cremation or some other type.

( ) Learn about disposition options available to me
( ) Plan for my own eventual disposition
( ) Plan for a family member’s disposition
( ) Help others learn and plan regarding final disposition
( ) Save money on costs of disposition
( ) Learn how to legallly care for a body at home until final disposition
( ) Advocate for consumer rights with regard to final disposition
( ) Other: _________________________________________________________
( ) Other: _________________________________________________________

Would you be interested in working in any of these areas?

( ) Obtaining price lists from area funeral homes, crematoriums, cemeteries and other related service providers
( ) Using EXCEl to create charts from price lists
( ) Negotiate member discounts with area service providers
( ) Speak to churches, civic groups and others about consumer options at the time of death
( ) Serve as a phone contact for people inquiring about the chapter or their options for disposition
( ) Lobby for consumer funeral interests at the state level
( ) Receive and give training in home care of the body
( ) Recruit and involve new chapter members
( ) Oversee printed communications such as chapter newsletter, news releases and member announcements
( ) Oversee electronic communications such as website and email
( ) Oversee chapter finances

What is/was your occupational background?
________________________________________________________________________
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