In order to make PJSA the best we can be, your help is needed. Please answer as many
of the five short answer questions
as you choose, then take one more minute for the
anonymous demographic survey. Thank you very much!. |
| *Your preferred email: |
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| Your Phone: |
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| Why are you a member of PJSA? |
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| What services or programs could PJSA develop to help us be more outreaching and/or what services could we add to help your work? |
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| What do you believe is the mission or purpose of PJSA? |
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| How can PJSA be more successful? |
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| What is the promise PJSA holds for the world? |
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| Demographic Information (responses are anonymous) |
| Your Age: |
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| Your Gender: |
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| Your Marital Status: |
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| Your occupation: |
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| Size of Household: |
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| Household Income: |
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| Highest Level of Education Completed: |
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| I live in a(n) _____ environment: |
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| I work in a(n)_____ environment: |
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| Political Affiliation: |
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| If you indicated 'third party' above, please specify it here: |
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| Please select all the words that describe you: |
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| After clicking Submit, please allow 10 seconds for the page to load. |
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* denotes required field |
