Committee Service example

This is an example Committee Service survey. This survey includes questions like:

We hope this will help you create your own Committee Service survey. We have not tested the validitiy or reliability of this survey. However, you may use this as a starting point to help your own survey instrument. Feel free to change and edit any of our survey templates to help you get started.

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1) What are your interests in serving on a committee?
2) Please tell us what committee(s) you would be interested in serving on. (Check all that apply)
  • Membership
  • Fundraising
  • Program Development
  • Conferences
  • Workshops
3) Please tell us what experiences or abilities you are able to offer for committee service.
4) Please tell us the amount of time you are able to offer to committee service.
5) Are you interested in serving on a local committee only, a national committee only, either a local or national committee, or both local and national committees?
  • local only
  • national only
  • local or national
  • local and national
6) How far would you be willing to travel to attend an annual committee meetings?
  • Local area only
  • 25-49 miles
  • 50-100 miles
  • More than 100 miles
7) How long have you been a member of the association?
8) What type of association membership do you currently hold?
  • Student Member
  • Associate Member
  • Full Member
  • Retired Member
9) Please share with us any additional information or comments about committee service.
10) Would you like to be contacted about serving on a committee?
  • Yes
  • No
11) Please provide us with your full name and contact information, including mailing address, e-mail, and telephone number.
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