Ontario Chapter Membership Survey

Dear Ontario ACP Member:

To help us appreciate the needs of the ACP Ontario Chapter membership, please complete the following survey.

Note: Items marked with * are required.

* Name:

* Email:

Year of Graduation:

Subspecialty:

Type of Practice (community or academic):

Location:

In the last five years have you attended:

The ACP Annual Meeting: Yes No

An Ontario Chapter meeting: Yes No

Any other ACP function: Yes No

If yes to any of the above, what did you like most about the ACP event?

What, if anything, did you feel needs improvement?

If you have not attended any ACP function what are the barriers?

What topics would you like to see at the Ontario Chapter Meeting?

Would you be more inclined to attend the Ontario Chapter Meeting if there was an out-of-town ACP speaker on the agenda? Yes No

Which learning format would be most relevant?
(control-click to select more than one)

What is your preference for:

Month of meeting:

Location of meeting:

Social functions as
part of the meeting:

Would you be interested in serving on the
Ontario Chapter council? Yes No

Thank you for your valuable input.

Sincerely,

Janet M. Roscoe, MD, FACP
Governor, ACP Ontario Chapter