CSHP Membership Survey
Please take a moment to reflect and provide feedback about Connecticut Society of Health-System Pharmacy. This is an anonymous survey unless you wish to provide contact information. If you would like someone to follow up with you or if you have additional suggestions, you may add any additional comments at the end of this brief survey or email us at office@cshponline.org.
Are you a CSHP Member?
Yes, I am a current member.
Yes, but I do not plan on renewing my membership.
No, my membership has lapsed.
No, but I would consider joining CSHP.
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YES, I AM A CURRENT MEMBER
What has brought the most value to your CSHP membership?
Continuing Education
Networking Opportunities
Professional Development Events
Leadership Opportunities
Communications and Information
Advocacy and Legislation Efforts
Other
Please share any additional comments about your membership experience that would help us improve our membership benefits:
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I AM A MEMBER, BUT I DO NOT PLAN ON RENEWING MY MEMBERSHIP.
NOT RENEWING - Please tell us why you no longer wish to be a CSHP Member?
I did not feel engaged in the organization
The cost was too high
I did not find value in my membership
I no longer practice in Connecticut
I am no longer in practice
Other
What would encourage you to renew your membership or rejoin in the future? More...
Continuing Education
Networking Opportunities
Professional Development Events
Leadership Opportunities
Communications and Information
Advocacy and Legislation Efforts
Other
Please provide any additional feedback you would like to provide regarding your membership experience.
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MY MEMBERSHIP HAS LAPSED
Please tell us why you no longer wish to be a CSHP Member?
I did not feel engaged in the organization
The cost was too high
I did not find value in my membership
I no longer practice in Connecticut
I am no longer in practice
Other
What would encourage you to renew your membership or rejoin in the future? More...
Continuing Education
Networking Opportunities
Professional Development Events
Leadership Opportunities
Communications and Information
Advocacy and Legislation Efforts
Other
Please provide any additional feedback you would like to provide regarding your membership experience.
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I AM NOT A MEMBER, BUT WOULD CONSIDER JOINING CSHP
add link to join us in new page CLick this link to visit our membership page https://cshponline.org/JOIN-CSHP
I would consider joining CSHP if more opportunities were offered in the following areas
Continuing Education
Networking Opportunities
Professional Development Events
Leadership Opportunities
Communications and Information
Advocacy and Legislation Efforts
Other
What has held you back from joining CSHP?
We appreciate any any feedback you would like to provide.
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CONTINUING EDUCATION
What is your level of interest in the following content areas? Drag and drop your choices ranking them from 1-5 (1 being the most interested - 5 being the least interested).
What continuing education topics would be of interest to you? Drag and drop your choices ranking them 1-10 (1 being the most interested and 10 being the least interested):
For the topics listed, are you interested in presenting this topic or know someone who might be interested in presenting this topic?
Yes
No
What topic OR area of expertise would you like to be a guest speaker OR panelist?
Please include topic/area & desired level of participation.
Please provide your name and contact information below.
If you would like this survey to remain anonymous, please email office@cshponline.org.
Please provide any additional feedback you may have from previous continuing education events or any other general comments.
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CSHP Member Demographics
To ensure our patient populations have equal access and patient-centric pharmaceutical care, CSHP formed a Diversity, Equity, and Inclusion Taskforce to provide recommendations on how we can best meet the needs of our diverse and unique populations. We do this by advocating and developing a diverse and inclusive group of pharmacists and pharmacy technicians to meet our community's needs. We also aim to provide guidance, support, and opportunities to foreign trained pharmacists who can help us achieve these goals. Your participation in answering these questions helps us to understand the demographics of our current pharmacist population, identify areas of improvement, and implement solutions to provide culturally sensitive care to un(der) represented populations. PLEASE NOTE: Any information you provide remains strictly confidential and will never be shared with any organization or individual not associated with CSHP. You may provide as much or as little information as you wish to provide.
What is your age?
Under 21
21 to 34
35 to 44
45 to 54
55 or older
I identify my gender as:
Female
Male
Non-binary
Transgender
Prefer not to say
Do you consider yourself a member of the Lesbian, Gay, Bisexual, and/or Transgender (LGBT) community?
Yes
No
No, but I identify as an LGBT+ Ally
Prefer not to say
I identify my race/ethnicity as: (Please select all that apply)
Asian
Black/African American
Caucasian
Hispanic/Latino
Pacific Islander
Native American
Prefer not to answer
Please select the language(s) you are fluent in:
Arabic
English
French
German
Hindi
Mandarin
Portuguese
Russian
Spanish
Other
Do you identify as physically disabled?
Yes
No
Prefer not to answer
Do you identify as neurodivergent? (Mental or neurological function from what is considered typical or normal. Examples include: Autism spectrum disorder, Attention-deficit hyperactivity disorder, Dyslexia, Bipolar Disorder, Social Anxiety, etc.)
Yes
No
Prefer not to answer
Are you a veteran?
Yes
No
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THANK YOU FOR SHARING YOUR FEEDBACK!
If you would like for someone to follow up with you, please leave your name, contact info and best time to reach you.
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