JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
NAMI Vermont Stakeholder Survey
Thank you for taking the time to share your thoughts with us. Your feedback helps guide NAMI Vermont's efforts toward achieving our mission to support, educate, and advocate so that individuals with mental illness and their family members can build better lives.
There are four brief sections to complete and your answers will be anonymous. Total time to complete is about 10 minutes. Thank you!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
General
First please tell us a little about you and your connection to NAMI Vermont.
Are you a member of NAMI Vermont?
*
Yes
No
Not Sure
Do you volunteer with NAMI Vermont? (check all that apply)
*
Board Member
Committee Member
Consumer Council
Education Instructor
Event Participant
Fundraising
Group Facilitator
Guest Speaking
Office Assistance
Writing articles/book reviews/letters to the editor
Outreach and Promotion
No
Other:
Required
Please describe how you interact with NAMI Vermont. (check all that apply)
*
By Phone
Board Meetings
Committee Meetings
Educational Opportunities
Email Newsletters
Events (e.g. Annual Conference, NAMI Walks)
NAMI Vermont Website
Social Media (Facebook, Twitter...)
Other:
Required
What forms of NAMI Vermont communications are most important to you and why?
Your answer
In what NAMI Vermont Affiliate do you reside?
*
NAMI Central Vermont (Lamoille, Orange, Washington Counties)
NAMI Greater Burlington Area (Addison, Chittenden, Franklin, Grand Isle Counties)
NAMI Rutland (Rutland County)
NAMI Northeast Kingdom (Caledonia, Essex, Orleans Counties)
NAMI Southern Vermont (Bennington, WIndham, Windsor Counties)
Other:
Please answer the following statements with the response that best describes your feeling.
Where 1 = Strongly Disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly Agree
I am well informed about NAMI Vermont mission and operations.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
I am provided regular updates from NAMI Vermont on current news and events concerning mental health.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
I believe NAMI Vermont has program offerings (support groups, educational opportunities, conferences) that match demand in my area.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
NAMI Vermont's work is meeting its mission of supporting, educating and advocating for individuals and their families to build better lives.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
NAMI Vermont programs (support groups, educational opportunities, conferences) in my area are well organized.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
NAMI Vermont programs in my area are well promoted and marketed.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
Public awareness of NAMI Vermont is strong in my community.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
Please use this space to provide any additional feedback on NAMI Vermont's structure, operations, mission or other general comments.
Your answer
Done Section One!
Thank you! Please continue on to the Support Section.
Next
Page 1 of 4
Clear form
Never submit passwords through Google Forms.
This form was created inside of NAMI VT.
Report Abuse
Forms
