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Section 1 Education
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1.1
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Have you attended any APICS courses in the past?
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Yes No
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1.2
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If yes, which ones?
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1.3
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Do you plan on enrolling in any educational offerings in the next year?
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Yes No Maybe
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1.4
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If yes, which type of course are you planning to take?
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1.5
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If CPIM, Which module/modules would you like to take?
To select more than one option please hold down the shift key while selecting.
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1.6
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Which format would you most prefer?
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Weekly (one evening/week) Fast Track (2 weekends)
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1.7
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Would you like our Director of Education to contact you to discuss your needs?
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Yes No
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1.8
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Do you have any additional comments or suggestions on Education?
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Section 2 Programs/Events
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2.1
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Have you attended any of our Professional Development Meetings?
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Yes No
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2.2
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If so, what did you like the MOST about the last event you attended?
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2.3
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If so, what did you like the LEAST about the last event you attended?
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2.4
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What topic would you MOST like to hear about at an upcoming event?
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2.5
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Do you have any workshop suggestions?
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2.6
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Is there a particular speaker you recommend for an upcoming event?
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2.7
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Would you like our Director of Programs to contact you to discuss your needs?
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Yes No
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2.8
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Do you have any additional comments or suggestions on Programs/Events?
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Section 3 Membership
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3.1
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Are you currently an APICS member?
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Yes Individual Yes Corporate No
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3.2
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If No, are you interested in finding out more about the benefits of membership?
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Yes No N/A
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3.3
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Would you like our Director of Marketing and Membership to contact you?
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Yes No N/A
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3.4
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If you are a member, what chapter are you currently part of?
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3.5
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If you are a member, what do you see as the biggest benefit of membership?
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3.6
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If you are a member, what things would you like to see improved in APICS overall?
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3.7
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Do you know anyone you feel would benefit from Membership (if so we will contact you)?
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Yes No
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Section 4 Getting Involved
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4.1
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APICS chapters are all run by volunteers, would you be interested in helping out?
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Yes No
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4.2
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If so, what areas would you be most interested in helping with?
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4.3
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If Other, please explain
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4.4
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Approximately how many hours per month could you volunteer?
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Section 5 Communications
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5.1
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Do you currently receive our Newsletter and/or other updates via email?
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Yes No
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5.2
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If no, would you like to be on our distribution list (please supply email address below)?
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Yes No
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5.3
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What is your preferred method in which to receive updates from the Chapter?
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5.4
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How often do you typically visit our website?
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5.5
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What do you like the MOST about our website?
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5.6
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What do you like the LEAST about our website?
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5.7
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Do you have any additional comments or suggestions on Communications?
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Section 6 Comments
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6.1
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Please supply and additional comments/suggestion to the overall board.
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Section 7 Contact Info
This information is optional, unless you wish someone to contact you
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7.1
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Your Name
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7.2
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Company Name
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7.3
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Phone Number
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7.4
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Email Address
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7.5
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APICS membership Number (if applicable)
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7.6
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Your preferred method of contact
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Email Phone
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