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MassPI's Membership Survey

Your opinion really matters to us. Please take a few minutes to complete the questions below so the Massachusetts Pain Initiative can better serve your needs. Filling in comments is much appreciated. Thank You!

First Name
Last Name
Organization
Phone Number
Email
Mailing Address
City
State
ZIP
 
1. What are some challenges you face as a clinician, consumer, advocate or concerned citizen when confronting issues of pain management?

Remaining clinically current

Accessing and/or understanding complimentary therapies (i.e. acupuncture, music therapy)

Understanding trends in medication

Changing the system where you work to better address pain management

Fears of regulatory scrutiny

Access to appropriate medications for pain relief

More networking opportunities with other professionals

Educating clinicians about pain management

Educating public about pain management

Abuse & diversion of drugs

Better understanding about diverse & underserved populations

PLEASE EXPLAIN your choices above, or offer different comments:
 
2. What has been the greatest benefit of attending MassPI meetings?

Topic selection

Networking opportunities

Working councils following main meeting

Continuing education

Have not attended any meetings

PLEASE EXPLAIN your choices above, or offer different comments:
 

3. We hope to improve attendance and participation at MassPI meetings. Please mark appropriate boxes and provide any information that would help us understand your needs better.

Need different location from Central Mass (i.e. Sturbridge, Marlborough)

Need different time of day (currently Tues or Wed from 8-12)

Interested in specific topics (please explain in text box below)

Would like more panel discussions

Would like to get continuing education credits (please explain in box below)

Like the meeting structure as it is now

Would like to see regional meetings in addition to statewide meetings

Do not plan on attending (please explain below)

PLEASE EXPLAIN your choices above, or offer different comments:
 

4. MassPI hopes to increase participation in the three Working Councils - Professional Education, Public Awareness, and Legislative Issues & Access To Care. Currently these councils meet two or three times a year during the statewide meetings in central Mass. Please mark boxes below to help us understand your interests.

Different location would be better (explain in text box below)

Different time of day

I am currently participating in a working council (please give feedback below)

Only want to participate occasionally

Do not have extra time to participate

I would be interested in participating (explain in text box below)

PLEASE EXPLAIN your choices above, or offer different comments:
 
5. What particular aspects of pain management are you most interested in?
 

6. We hope to learn from you how we can further accomplish the mission of MassPI. Please answer questions below and do not forget to fill in the text boxes with your helpful comments.

I am interested in helping with legislative outreach.
I am interested in attending professional education opportunities.
I am interested in being a Power Over Pain volunteer, which means providing pain education to the public or to healthcare professionals.
I am interested in networking opportunities.
I would volunteer to lobby for regulatory/policy changes to improve pain management.
I am interested in volunteering on a fundraising committee.
I am interested in sharing ideas about fundraising but not to be on a committee.
COMMENTS – please provide detailed information about your above answers to help us better serve your needs.
 

7. MassPI needs to fundraise in order to continue in its current capacity. An idea is to create an annual “gala” event for MassPI that would include an Award Recognition Program. Other state pain initiatives have this type of event. Please answer questions below.

I would be interested in helping to plan this type of annual event.
I would be interested in attending this type of event.
I would probably bring my partner/spouse/family to this event.
I would like to share my ideas about this type of event.
COMMENTS – please provide detailed information about your above answers to help us better serve your needs.


As MassPI becomes more active advocating for quality pain management in Beacon Hill and in Washington, we are creating a comprehensive database of our membership by legislative and congressional district. In order to put a "face" on our legislative agenda, we must update our "Action Network" of committed volunteers willing to write, call or meet with their elected officials. For these purposes only, your home address is required below for legislative districting purposes. Thank you for your willingness to advocate for quality pain management!
Home Address
City
State
ZIP

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