Welcome, The Southern Arizona Chapter of ASSE is requesting your help in identifying our members’ needs to assist with the planning of our 2012-2013 year. Here is the survey form for the Chapter. Fill in the form and click on the submit button. Thanks.

Name
Email
MEETING DATE, TIME & LOCATION
How many meetigs did you attend last year?
Which topics did you find most helpful?
Is the 2nd Tuesday of the month a good meeting date for you?
If we were to change the day of the week, what day would you be available to attend the meeting?
If we were to change the week of the meeting, what week would you be available to attend the meeting?
Can you attend the 11:30 to 1:00 lunchtime meetings?
If we were to change the the time, please check all times you would be available to attend the meeting.
7:00 - 8:30
8:30 - 10:00
11:30 - 1:00
12:30 - 2:00
4:30 - 6:00
6:30 - 8:00
Currently meetings are held at El Parador restaurant on Broadway
Is this current location acceptable?
Please List other preferred sites!!!
PROFILE INFO
Which best describes your current safety position?
Do you have any of the following certifications?
Are you working towards or considering any of the following?
Would you be interested in organized study groups to help acquire one of these certifications?
If already certified, would you like to assist in study group?
MEETING TOPIC/SPEAKERS
Did you receive notification of the scheduled speakers for the meetings?
Were the topics and speakers from this past year relevant?
What topic or speaker would you like to have on the agenda?
Would you like to do a presentation on the safety issues found at your worksite?
SOUTHERN ARIZONA SAFETY COUNCIL (SASC)
Are you aware of the joint quarterly meeting held with the SASC?
Do you attend the joint quarterly meeting held with the SASC?
VOLUNTEERISM
Would you be willing to volunteer time to assist the Board?
Would you be interested in volunteering in the community for safety related events?
SEMINARS
What topics would be beneficial this year for ½ day/ full day training?
BOARD
Would you be interested in holding one or more of these positions (job descriptions can be found on ASSE.org?)
Do you have other comments or suggestions: