Shaping and influencing health care
within the Department of Veterans Affairs


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NOVA MEMBERSHIP SURVEY
SPRING 2006
Every NOVA member's input is critical to the Board when they are making decisions on behalf of the membership.
Please take a few moments to complete this NOVA Membership Survey, then simply click the "Submit Survey" button.

Please submit your completed survey
no later than May 8, 2006.

Filter Type:
Do you receive NOVA's Hot News?
 Yes No
If no, would you like the NOVA staff to sign you up?
 Yes N/A
If yes, please list your complete email address:


How useful is the Hot News?
(On a scale of 1 to 5: 1 = not useful and 5 = very useful)
 1 2 3 4 5
Would you encourage other NOVA members to sign up for Hot News?
 Yes No
Would you like more Hot News stories abut VA-specific information?
 Yes No
Do you like the nursing-specific stories?
 Yes No
Do you share Hot News with your colleagues?
 Yes No
Did you receive a membership directory last year?
 Yes No
On a scale of 1 to 5, How important is it to you to have addresses and phone numbers in the membership listing? (1 = not important and 5 = very important)
 1 2 3 4 5
The directory is mailed to members, and is not shared with non-members. Do you want your address and phone number to be published in the directory?
 Yes No
How many NOVA Annual Meetings have you attended?
 0 1-4 5-9 10-14 15 or more
Do you receive tuition from your facility to attend NOVA Annual Meetings?
 Yes No
Do you receive travel funds to attend NOVA Annual Meetings?
 Yes No
What would encourage you to attend a NOVA Annual Meeting?


Please rank each of the following regarding whether it would encourage you to attend the Annual Meeting, from 1 (would not encourage attendance) to 5 (would definitely encourage attendance):
Educational Content/Speakers
 1 2 3 4 5
Location: Washington DC
 1 2 3 4 5
Location: East Coast
 1 2 3 4 5
Location: West Coast
 1 2 3 4 5
Location: Central USA
 1 2 3 4 5
Funding from my local facility or NOVA chapter
 1 2 3 4 5
Ability to share hotel cost with another NOVA member
 1 2 3 4 5
Ability to bring family for vacation
 1 2 3 4 5
Hotel rates for the 2007 Annual Meeting will probably be in excess of $200 due to the increase of the government rate in the Washington, DC area. Will this impact your decision to attend the Annual Meeting?
 Yes No
Please rank each of the following member benefits from 1 (not important) to 5 (very important):
News from NOVA Newsletter
 1 2 3 4 5
Hot News
 1 2 3 4 5
NOVA Website
 1 2 3 4 5
Legislative presence in Washington, DC
 1 2 3 4 5
Dental Insurance
 1 2 3 4 5
Annual Meeting
 1 2 3 4 5
Are there other benefits you would like to see NOVA offer members?
 Yes No
If yes, please list:
Are you interested in the dental insurance?
 Yes No
If you are interested in the dental insurance, have you signed up?
 Yes No Not interested
If you've attended an Annual Meeting in Washington, DC and participated in visits to Congress, please rate the visits from 1 (not important) to 5 (very important):
 1 2 3 4 5 Have not participated
Have you visited the NOVA website?
 Yes No
How frequently do you visit the website?


Is there additional information you would like to see on the NOVA website?
 Yes No
If yes, please list:


NOVA is considering the implementation of an electronic chapter that would be available to members who currently don't have an active chapter to join, similar to Sigma Theta Tau. Would you be interested in joining an electronic chapter?
 Yes No
What benefits would you expect from an electronic chapter?
What do you think the cost of electronic chapter dues should be?
Why would you be interested in joining an electronic chapter?


Have you ever contributed to the NOVA Foundation?
 Yes No
What would encourage you to contribute?
Have you seen the new NOVA Foundation brochure?
 Yes No Don't Know
If you have not seen it, and would like one mailed to you, please indicate your name & mailing address:
Are you interested in gifting the NOVA Foundation?
 Yes No
The NOVA Foundation will be participating in the Marine Corps Marathon in Washington, DC on October 29, 2006. This prestigious marathon runs through the city, and allows NOVA to enter runners to pledge funds for the NOVA Foundation. Would you sign up?
 Yes No Don't Know


Please provide any other comments you may wish to make:




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