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MaineACEP.org Online Survey Please take a moment to fill out the survey. Your participation helps us greatly improve the services we can provide to members like you. Name (optional):         Phone:         Email:         1.   At which healthcare facility do you work?       2.   Are you a MaineACEP member?       Yes   No       If not, what needs to change at the state or national level in order for you to join?       For example – lower membership fees, change its position on legislative or political       issues, focus more on practice management, or other changes. Please specify:             3.   Do you participate in MaineACEP?       Yes         No       If not, why?       Too busy       Distance       Don’t know how       MaineACEP has no value or relevance to me       Not a member       Other         If Other, Please specify:             4.   Did you know that ACEP‘s membership criteria is more inclusive now and that if a physician       was employed as an emergency physician prior to January 1, 2000, regardless of board certification       or residency training, that physician is eligible to join?       Yes   No 5.   How should MaineACEP primarily communicate with you?       Email   US mail   Fax 6.   How has MaineACEP helped or benefited you?           7.   What priorities should MaineACEP focus on? (Choose 3)       Education       Legislative issues       Reimbursement       Malpractice       Diversion       Continuous Certification       Other         If Other, Please specify:             8.   Do you feel that MaineACEP represents you adequately?       Yes   No       If not, how can MaineACEP improve?             9.   Do you know about or have you used our web site at www.maineacep.org?       Yes   No 10.   Where would you like to see our quarterly meetings held i.e. always one central location         with video streaming to other locations or across state?

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