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Southern Nevada Infectious Disease Society New Member Survey
Welcome to the Southern Nevada Infectious Disease Society (SNIDS) New Member Survey! We're glad you're interested in joining our organization.
We'll start with 10 questions to help us gauge how best to support the intent and goals of SNIDS. The survey is quick and will not take more than 10 minutes of your time.
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* Indica que la pregunta es obligatoria
What is your name? (Last Name, First Name; whoever is representing an organization should put their name here)
*
Tu respuesta
What is your occupation?
*
Tu respuesta
What is your organization? (Where you work at, what other society you are a part of, etc.)
*
Tu respuesta
Please provide your preferred phone number we can use for easy contact.
*
Tu respuesta
Please provide your preferred email address we can use for easy contact.
*
Tu respuesta
Please provide your updated and preferred mailing address.
*
Tu respuesta
During the first meeting of SNIDS, several ideas were discussed. On a scale of 1-4, with 1 being not interested and 4 being very interested, please indicate your level of interest in accomplishing the following goals:
1) SNIDS is a society intended to bring infectious disease professionals together.
*
Not Being Interested
1
2
3
4
Very Interested
2) SNIDS is a society intended to provide education to each other and to interested third parties.
*
Not Being Interested
1
2
3
4
Very Interested
3) SNIDS is a society intended to create opportunity for recognizing excellence through medical research and treatment.
*
Not Being Interested
1
2
3
4
Very Interested
4) SNIDS will provide opportunity for quarterly gatherings and an annual conference.
*
Not Being Interested
1
2
3
4
Very Interested
How much time are you interested in committing for this group?
*
1-2 hours per month
3-5 hours per month
Available as needed with limited time constraints
If interested in serving on a committee, please select your preference(s):
*
Membership Committee
Antimicrobial Stewardship Program (AMS) Committee
Infection Control + COVID-19 Committee
Conference + Agenda Planning Committee
None of these at this time
Otro:
Obligatorio
If you are able, please indicate which level of investment you are personally able to commit to supporting SNIDS:
*
$0 - $99 annually
$100 - $250 annually
More than $250 annually
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