Former ICA Member Survey

Dear Former ICA Member,

We are requesting that you complete this survey so that we may better serve you, our current members, and the profession at large.   Please take a few minutes and complete this form.  Then please hit the submission button and a response will be automatically sent to us.  You will not be contacted unless you request us to.  All your answers will be kept confidential unless you notify us otherwise.

 

NAME

If any of the information has changed recently please fill in below.

CURRENT STREET ADDRESS

CITY

STATE

POSTAL CODE

PHONE

FAX

CELL PHONE

Please enter you r email address even if it has not changed.

E-MAIL ADDRESS

 

Please answer the following to the best of your ability

1.   What was your original reason for joining ICA?

 

2.   What is the reason you have chosen to discontinue your membership?

 

3.    Have you attended an ICA Seminar within the past 5 years?
Which one(s)?

 

4.   What seminars would you be interested in attending?

 

5.   Are you a member of a state association?
Name of Assoc.

 

6.   What would you say is the ICA's most favorable characteristics? Please describe.

 

7.    What would you say is the ICA's least favorable characteristics? Please describe.
 

 

8.   Would you be willing to rejoin the ICA at some time in the future if the situation or conditions were right?

 

9.   What conditions or situations would need to occur for you to rejoin the ICA? Please describe.

 

10.   Additional comments or suggestions.

 

 

For verification purposes, please type in the numbers and letters that you see below then press the Send Request button

 ICAmembers@aol.com