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Are you a Registered Nurse?
No
Yes
If you are an RN, are you an APRN?
Yes
No
N/A
Are you a License Vocational Nurse?
No
Yes
If you are not a registered nurse or licensed vocational nurse what is your area of practice?
CNA
Chaplain
Social Worker
Administrator
Other
If you are a registered nurse or licensed vocational nurse,
If you are a registered nurse or licensed vocational nurse,
Select Yes or No
Yes
No
Do you currently work in hospice or palliative care?
Do you have an interest in being certified in palliative and hospice care?
Are you a current member of the Hospice and Palliative Care Nurses Association?
Are you a current member of HPNA Los Angeles Area Regional Chapter?
Which of these membership designations for the Los Angeles Regional Chapter might you be interested in?
Nursing Student or Medical Student
Retired RN/LVN or non-nursing (non-voting status in local chapter)
RN/LVN Chapter membership and a member of national organization (voting status)
RN/LVN Chapter membership without membership in national organization (non-voting status)
6) What format for meetings, including those where continuing education is provided, is most appealing to you
Always on-line via Zoom
On-line with an annual 2 day in person symposium/retreat
Mix of on-line via Zoom and in person (1-4 times) over the course of the year
What frequency of meetings would work best for you?
On a regular schedule, same pattern every month with exception for month of UCLA Palliative Care Symposium in the spring in Apr and two months for the holidays in Nov and Dec (Jan, Feb, Mar, May, June, Jul, Aug, Sept, Oct= 9 months)
Every other month with exception for month of UCLA Palliative Care Symposium in the spring and two months for the holidays in Nov and Dec (Jan, Mar, May, Jul, Sept = 5 months a year)
Once a quarter, for example, (Jan, May, July, Oct = 4 months a year
How important is it that the meeting offer an opportunity to earn CEUs?
Very
Somewhat
Not at all
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