Nurse Advocacy Network Survey

Welcome to the Nurse Advocacy Network (NAN)! Your responses will help us map our next steps of advocacy.

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First name*

Last name*

Email address*

ZIP Code*

Postal code*

Phone

Are you a nurse, health care worker, retired nurse, retired health care worker, concerned community member, or other? (Please check one)

Nurse

Health Care Worker (not RN)

Retired Nurse

Retired Health Care Worker (not RN)

Concerned Community Member

Other

Which nursing license or certification do you hold?

In what setting do you currently work?

Are you a union member?

Yes

No, but I have been in the past

Do you belong to any other groups or organizations?

What campaigns are you most interested in? (Please check all that apply)

Protecting and expanding nurse and patient safety Workplace Violence Prevention Safe Staffing A.I.’s impact on nursing and health care Learn more about your rights to unionize your workplace

What volunteer activities are you most interested in? (Please check all that apply)

Send texts and/or make calls Meet/call/email my elected officials Online actions and social media Organize an in-person rally or other activity Attend an in-person rally or other activity

Would you like to learn more about any of the following programs?

NNU’s Retiree division Becoming a member-at-large with NNU Continuing Education (CE) classes with NNU

Is there anything else you’d like to share with us about your skills or volunteer interests?