2007 Utah Breastfeeding Coalition Member Questionnaire

We are seeking your input in how the Coalition can serve you this upcoming year.  We also invite you to join us and share your talents in making 2007 another great year while working to accomplishing our Utah Breastfeeding Coalition goals:

What was your main motivation to join the Coalition initially?

 
What do you want to get out of your membership in the Utah Breastfeeding Coalition?
 
If you haven't yet renewed your membership for 2007, what is the main reason?
 
What topics would you like to see addressed at events with CEUs?
 

What do you feel you can contribute to the Utah Breastfeeding Coalition? (Please check all that apply)

  Staffing the UBC booth at conventions or other events
  Staffing the Breastfeeding Café (August 2007 at the Salt Lake City Library)
  Planning Committee for Breastfeeding Café
  Speaking engagements or Q & A sessions
  Phone calls to potential members
  Distribution of Breastfeeding Resource Guides to providers
  Serving on a committee:
    Promotion and Marketing
    Education
    Nominating and Membership
    Policy and Development
  Serving on the Executive Committee
  Lactation Management phone calls
  Other (Please specify)
       
Yes No    
I live out of the Salt Lake Valley 
If yes, I would like to meet with other members in my area.
       
Ideas and suggestions for the Utah Breastfeeding Coalition Executive Committee
 
Name:
Contact Phone Number or Email Address:
 
Submit