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Prospective Member Survey

  1. Are you aware of the political accomplishments of CNH?
        Yes
        No

  2. CNH is looking for ways to increase and expand member services. Please indicate your level of interest in having CNH offer the following services. In your opinion, does the following list of services have a high, medium, or low level of appeal to you?
    Professional Liability Insurance High
    Medium
    Low
    Long Distance Service High
    Medium
    Low
    Disability Income Insurance High
    Medium
    Low
    Overnight Delivery Service High
    Medium
    Low
    Group Health Insurance High
    Medium
    Low
    Discounted Office Equipment High
    Medium
    Low
    Discounted Credit Card Processing High
    Medium
    Low
    Member's Only Credit Card High
    Medium
    Low
    Discounted Vision Care High
    Medium
    Low
    Discounted Prescription Drugs High
    Medium
    Low
    Discounted Dental Services High
    Medium
    Low
    Discounted Chiropractic Services High
    Medium
    Low
    Discounted Fitness, Health Supplies & Equipment High
    Medium
    Low
    Bargain Book Rates High
    Medium
    Low
    Discounted Flowers & Gift Baskets High
    Medium
    Low
    Car Pricing, Purchasing & Referral Service High
    Medium
    Low
    College Education Program High
    Medium
    Low
    Amusements Park Discounts High
    Medium
    Low
    Discounted Dining Program High
    Medium
    Low
    Sam's Club Membership High
    Medium
    Low
    Discount on Air Travel High
    Medium
    Low
    Grocery Store Coupons High
    Medium
    Low
    Tax Preparation Services High
    Medium
    Low

  3.  Do you currently own or operate a business that involves naturopathy or any of its component modalities?
        Yes
        No

  4. Is your naturopathic business:
        Solo Practice
        Group Practice
        Clinic/Private
        Clinic/Public
        Other

  5. How would you describe the community where you live?
        Suburban
        Medium Town
        Small Town
        Rural
        NA

  6. Which category best describes the percentage of your household income from naturopathy?
        Under $10,000
        $10,000 - $15,000
        $15,000 - $25,000
        $25,000 - $35,000
        $35,000 - $45,000
        $45,000 - $55,000
        $55,000 - $75,000
        $75,000 and over
        NA

  7. Which degrees in natural health do you currently have?
        B.S. in Natural Health
        M.S. in Natural Health
        Doctor of Naturopathy or ND
        Ph. D. in Natural Health
        Ph. D in Holistic Health Sciences
        Other - Please Specify:

  8. Where did you obtain your holistic health degree?
        Westbrook University
        Bastyr University
        Trinity School of Natural Health
        Hallmark School of Natural Healing
        Clayton College of Natural Health
        Barrington University
        The Herbal Healer Academy
       Other - Please Specify:

  9. Would you like to learn more about membership with the Coalition for Natural Health?
    Yes
    No
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