Name

Address

Postcode

Telephone

Email

Name of employer (PCT.) etc

Country of employment: England Scotland Wales N.Ireland
I am a: Health Visitor School Nurse Practice Nurse District Nurse Nursery Nurse Other please specify

1. Why did you join the CPHVA? (Please tick the MOST important reason) I wanted to belong to a trade union/professional association I wanted to receive the professional services that CPHVA offered I wanted professional insurance liability I liked the marketing literature I was having problems at work A colleague/friend recruited me It is good value for money, compared with other nursing organisations I was fed up with my existing professional association I wanted to receive the Community Practitioner journal as part of my membership package

2. How did you join the CPHVA?
Colleague/friend recommendation At conference/exhibition Recruited by a CPHVA rep/Amicus officer in the workplace By viewing the internet/CPHVA website Other

Please state, other

3a. Have you ever been a member of a professional association? If so, which one?
RCN RCM UNISON CDNA Other

Please specify other

I have never been a member of a professional association/trade union

3b. I hold joint membership of one or more of the following. (Please tick) RCN RCM UNISON CDNA Other
Please specify other

4. What are the most important services that the CPHVA provides for you. Please fill in the boxes 1-to-13 with 1 being the most important and 13 being the least important.

Responding to individual membership queries 1-responding to individual membership queries 2-responding to individual membership queries 3-responding to individual membership queries 4-responding to individual membership queries 5-responding to individual membership queries 6-responding to individual membership queries 7-responding to individual membership queries 8-responding to individual membership queries 9-responding to individual membership queries 10-responding to individual membership queries 11-responding to individual membership queries 12-responding to individual membership queries 13-responding to individual membership queries

Providing accurate information on issues pertinent to community nursing 1-providing accurate information on issues pertinent to community nursing 2-providing accurate information on issues pertinent to community nursing 3-providing accurate information on issues pertinent to community nursing 4-providing accurate information on issues pertinent to community nursing 5-providing accurate information on issues pertinent to community nursing 6-providing accurate information on issues pertinent to community nursing 7-providing accurate information on issues pertinent to community nursing 8-providing accurate information on issues pertinent to community nursing 9-providing accurate information on issues pertinent to community nursing 10-providing accurate information on issues pertinent to community nursing 11-providing accurate information on issues pertinent to community nursing 12-providing accurate information on issues pertinent to community nursing 13-providing accurate information on issues pertinent to community nursing

Professional insurance liability 1-professional insurance liability 2-professional insurance liability 3-professional insurance liability 4-professional insurance liability 5-professional insurance liability 6-professional insurance liability 7-professional insurance liability 8-professional insurance liability 9-professional insurance liability 10-professional insurance liability 11-professional insurance liability 12-professional insurance liability 13-professional insurance liability

Labour relations/employment conditions/Agenda for Change 1-labour relations/employment conditions 2-labour relations/employment conditions 3-labour relations/employment conditions 4-labour relations/employment conditions 5-labour relations/employment conditions 6-labour relations/employment conditions 7-labour relations/employment conditions 8-labour relations/employment conditions 9-labour relations/employment conditions 10-labour relations/employment conditions 11-labour relations/employment conditions 12-labour relations/employment conditions 13-labour relations/employment conditions

The CPHVA’s annual professional conference 1-the CPHVA’s annual professional conference 2-the CPHVA’s annual professional conference 3-the CPHVA’s annual professional conference 4-the CPHVA’s annual professional conference 5-the CPHVA’s annual professional conference 6-the CPHVA’s annual professional conference 7-the CPHVA’s annual professional conference 8-the CPHVA’s annual professional conference 9-the CPHVA’s annual professional conference 10-the CPHVA’s annual professional conference 11-the CPHVA’s annual professional conference 12-the CPHVA’s annual professional conference 13-the CPHVA’s annual professional conference

Professional support on clinical issues 1-professional support on clinical issues 2-professional support on clinical issues 3-professional support on clinical issues 4-professional support on clinical issues 5-professional support on clinical issues 6-professional support on clinical issues 7-professional support on clinical issues 8-professional support on clinical issues 9-professional support on clinical issues 10-professional support on clinical issues 11-programme of conferences and seminars 12-professional support on clinical issues 13-professional support on clinical issues

Education and research initiatives 1-education and research initiatives 2-education and research initiatives 3-education and research initiatives 4-education and research initiatives 5-education and research initiatives 6-education and research initiatives 7-education and research initiatives 8-education and research initiatives 9-education and research initiatives 10-education and research initiatives 11-education and research initiatives 12-education and research initiatives 13-education and research initiatives

Publications produced by the CPHVA 1-Publications produced by the CPHVA 2-Publications produced by the CPHVA 3-Publications produced by the CPHVA 4-Publications produced by the CPHVA 5-Publications produced by the CPHVA 6-Publications produced by the CPHVA 7-Publications produced by the CPHVA 8-Publications produced by the CPHVA 9-Publications produced by the CPHVA 10-Publications produced by the CPHVA 11-Publications produced by the CPHVA 12-Publications produced by the CPHVA 13-Publications produced by the CPHVA

Being part of a larger trade union, Amicus 1-being part of a larger trade union, Amicus 2-being part of a larger trade union, Amicus 3-being part of a larger trade union, Amicus 4-being part of a larger trade union, Amicus 5-being part of a larger trade union, Amicus 6-being part of a larger trade union, Amicus 7-being part of a larger trade union, Amicus 8-being part of a larger trade union, Amicus 9-being part of a larger trade union, Amicus 10-being part of a larger trade union, Amicus 11-being part of a larger trade union, Amicus 12-being part of a larger trade union, Amicus 13-being part of a larger trade union, Amicus

Receiving Community Practitioner monthly 1-receiving Community Practitioner monthly 2-receiving Community Practitioner monthly 3-receiving Community Practitioner monthly 4-receiving Community Practitioner monthly 5-receiving Community Practitioner monthly 6-receiving Community Practitioner monthly 7-receiving Community Practitioner monthly 8-receiving Community Practitioner monthly 9-receiving Community Practitioner monthly 10-receiving Community Practitioner monthly 11-receiving Community Practitioner monthly 12-receiving Community Practitioner monthly 13-receiving Community Practitioner monthly

Programme of conferences and seminars 1-programme of conferences and seminars 2-programme of conferences and seminars 3-programme of conferences and seminars 4-programme of conferences and seminars 5-programme of conferences and seminars 6-programme of conferences and seminars 7-programme of conferences and seminars 8-programme of conferences and seminars 9-programme of conferences and seminars 10-programme of conferences and seminars 11-programme of conferences and seminars 12-programme of conferences and seminars 13-programme of conferences and seminars

Information resources facilities/CPHVA website 1-information resources facilities/CPHVA website 2-information resources facilities/CPHVA website 3-information resources facilities/CPHVA website 4-information resources facilities/CPHVA website 5-information resources facilities/CPHVA website 6-information resources facilities/CPHVA website 7-information resources facilities/CPHVA website 8-information resources facilities/CPHVA website 9-information resources facilities/CPHVA website 10-information resources facilities/CPHVA website 11-information resources facilities/CPHVA website 12-information resources facilities/CPHVA website 13-information resources facilities/CPHVA website

Campaigns, such as Deals on Wheels 1-campaigns, such as Deals on Wheels 2-campaigns, such as Deals on Wheels 3-campaigns, such as Deals on Wheels 4-campaigns, such as Deals on Wheels 5-campaigns, such as Deals on Wheels 6-campaigns, such as Deals on Wheels 7-campaigns, such as Deals on Wheels 8-campaigns, such as Deals on Wheels 9-campaigns, such as Deals on Wheels 10-campaigns, such as Deals on Wheels 11-campaigns, such as Deals on Wheels 12-campaigns, such as Deals on Wheels 13-campaigns, such as Deals on Wheels

Other 1-other 2-other 3-other 4-other 5-other 6-other 7-other 8-other 9-other 10-other 11-other 12-other 13-other

Please specify other

5. What services would you like to see the CPHVA do more of? Please tick as many boxes as you want.
Responding to individual membership queries
Providing accurate information on issues pertinent to community nursing
Labour relations/employment conditions/Agenda for Change
Professional support on clinical issues
Education and research initiatives
Publications produced by the CPHVA
An expanded Community Practitioner
Programme of conferences and seminars
Information resources facilities/CPHVA website
Campaigns, such as Deals on Wheels
Other
Please specify

6. What services do you think the CPHVA does well? Please tick as many boxes as you want.
Processing your membership application
Responding to individual membership queries
Providing accurate information on issues pertinent to community nursing
Professional insurance liability
Labour relations/employment conditions/Agenda for Change
The CPHVA’s annual professional conference
Professional support on clinical issues
Education and research initiatives
Publications produced by the CPHVA
Community Practitioner
Programme of conferences and seminars
Information resources facilities/CPHVA website
Campaigns, such as Deals on Wheels
Other
Please specify

7. What services to members could be improved on? Please tick as many boxes as you want.
Processing your membership application
Responding to individual membership queries
Providing accurate information on issues pertinent to community nursing
Labour relations/employment conditions/Agenda for Change
The CPHVA’s annual professional conference
Professional support on clinical issues
Education and research initiatives
Publications produced by the CPHVA
Community Practitioner
Programme of conferences and seminars
Information resources facilities/CPHVA website
Campaigns, such as Deals on Wheels
Relationship with Amicus regional officers
Other
Please specify

8. If you were to recommend a colleague to join the CPHVA what would be the main reason. Please tick ONE box.
It caters for my professional/labour relations needs
It is the premier organisation for community nursing in the UK
It provides a swift response to membership inquires
It provides Ł3m professional insurance liability
It is good value for money, compared with other nursing organisations
Other
Please specify other

Any other comments

Thank you for filling out this questionnaire. The results, which will be published in Community Practitioner, will help improve and refine the services we offer in the future.