US JC Logo

Value Assessment and Membership Survey
RequiredRequired Question(s)
1.

Please enter only the information you are willing to provide.


First Name:
Last Name:
Job Title:
Home Phone:
Email Address:
emailaddress@xyz.com
City:
State/Province
(US/Canada):
Country:

Required 2.

Are you a member of the US Jaycees? If yes, for how long?

Yes
No
  • Comment:

  • 500 characters left.
Required 3.

Are you a member of Junior Chamber International? If yes, for how long?

Yes
No
  • Comment:

  • 500 characters left.
Required 4.

Please list your age.

<18 18 - 21 22 - 29 30 - 35 36 - 41 >41      
     
5.

Are you currently an officer?

Yes
No
6.

Please select honor(s) bestowed.

Ambassador
Senator
Alumni
None
Other  
7.

What logo should The United States Junior Chamber pursue in the future?

Jaycees Only
Jaycees & JCI (Co-Branding)
JCI Only
  • Comment:

  • 500 characters left.
8.

Do you feel you understand the difference between The United States Junior Chamber and Junior Chamber International?

Yes
No
No Opinion
  • Comment:

  • 500 characters left.
Required 9.

What is the #1 value that would guarentee your renewal of membership?

 

50 characters left.
10.

What is your satisfaction level of The United States Junior Chamber?

Extreme Support Strong Average Poor Complete Dissatisfaction       
      
  • Comment:

  • 500 characters left.
11.

What is your satisfaction level of Junior Chamber International?

Extreme Support Strong Average Poor Complete Dissatisfaction       
      
  • Comment:

  • 500 characters left.
Required 12.

Do you regularly attend National events?  If no, what can the we do to have you attend?

Yes
No
  • Comment:

  • 500 characters left.
13.

What is the most important change you think will make us more attractive to new members?

 

50 characters left.
14.

Please rate our website: www.usjaycees.org.

 Excellent Good Neutral Weak Horrible 
Usability
Appearance
Informative
Speed
Modern
  • Comment:

  • 500 characters left.
15.

Do you have desire to serve on a committee in 2010?  If yes, please advise which committee and what value you would bring to that committee.

Yes
No
  • Comment:

  • 500 characters left.
16.

Would you be interested in volunteering to data enter documents and files to an electronic database?

Yes
No
17.

What is our organizations biggest weakness and what solution would you recommend?

 

50 characters left.
18.

Do you feel we can overcome our biggest weakness?  Please advise what that weakness is and your recommended solution.

Yes
No
  • Comment:

  • 500 characters left.
Required 19.

Thank you for taking the time to share your input.  Please advise if you were satisfied with this survey and feel welcome to document any closing thoughts you may have.

Satisfied
Unsatisfied
  • Comment:

  • 500 characters left.