Focus Group Recruitment Questionnaire Survey - COP

The Purpose of this questionnaire is gather information for an internal audit of TASH which is being done by the new TASH Diversity Committee. This questionnaire relates only to race, color, ethnicity, language and culture.

Please complete this brief questionnaire as soon as possible but at least before you leave the conference. There is a box at the information table in the registration area to leave your completed questionnaire.

How did you learn about this conference?

TASH website

Mailing or email from TASH

Another TASH member

Local organization, service provider, or school

Friend

Family

Local TASH Committee

Branching: Discard Retired..

Employment

How many TASH conferences have you attended in the past?

This is my first TASH Conference

1 – 5 conferences

5 – 10 conferences

More than 10 conferences

Branching: High School Graduates and Above

Education

. Do you feel welcome and comfortable in attending this conference?

Yes

No

Somewhat

Family Status

. Are you a member of a TASH Committee?

Online Services

. Do you plan to attend the Town Meeting Creating a Voice: Equity and Access for People of Color and Disability (Friday December 7th 4:45 -5:45)

Yes No Unsure

Do you think the issues related to diversity are being addressed?

At the conference

On the TASH website

TASH publications

Do you think the issues related to diversity are being addressed?

At the conference Yes No Unsure Don’t know

On the TASH website Yes No Unsure Don’t know

TASH publications Yes No Unsure Don’t know

d. On a scale of 1 to 5, with 1 being the least comfortable and 5 being the most comfortable, how comfortable and familiar are you using the Internet, including such things as links, site addresses, or search engines?

Computer Usage

When using the Internet, either at home or at work, which do you use more often?

IBM Compatible PC

Mac

Branching: End if involved in prior market research studies

Research Experience

Aside from political surveys, have you participated in any market research studies such as panel discussions, focus groups or surveys, in the last 12 months?

Yes

No

* Name

Phone

* Email Address

Thank You for completing the Questionnaire... Your honest responses are truly appreciated.

Please click on the Finish Survey button to complete this Survey.