Samples: Association Survey

Association Member Survey

XXX Association

The purpose of this survey is to gain feedback from you the members to ensure that our association is the organization you want it to be.

Note: Marked with * is required.

Section 1

1.1

How would you rate your overall level of satisfaction with our Association? *

Very Dissatisfied	Dissatisfied
Neutral/No Opinion	Satisfied
Very Satisfied

1.2

How do you find the following to be in terms of ...

	Not good	Fair	Good	Excellent
Annual Conference:
Newsletters:
Member Benefit Program:
Networking Events:

1.3

Over the past year as a member, which of the following have you attended?

Annual Dinners
Networking Events
Breakfast/Lunch Speaker Events

1.4

If you were the Executive Director of this Association, would you change anything and what would those changes be?

Section 2

2.1

What is your gender? *

Male

Female

2.2

How long have you been a member of our association? *

Less than 6 months	6 month - 1 year
1 - 2 years	3 - 4 years
Over 4 years

2.3

Your Contact Information: (Optional)

Name:
Organization:
Email:
Phone:

2.4

Any other comments or suggestions:

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