Advocacy Survey
Page One
American Psychological Association
Public Interest Government Relations Office
Thank you for your willingness to participate in our short survey. We appreciate your help in identifying ways that you may be interested in contributing to the APA's advocacy efforts. This information will be used by the Public Interest Government Relations Office to identify APA members with various levels of knowledge who may be interested in participating in future advocacy opportunities.
Please contact Krysta Jones at
knjones@apa.org
with any questions, comments, or concerns.
1.
Contact Information
First Name
Last Name
Current Position
Institution
Street Address
Apt/Suite/Office
City
State
Postal Code
Email Address
Phone Number
Fax Number
2.
What level of knowledge do you have in the following areas?
High Level of Knowledge
Somewhat Strong
General
Little to none
SES and Education
SES and Homelessness
SES and Health
SES and Employment
Welfare Policy
SES and Women
SES and Racial and Ethnic Minorities
SES and Youth
3.
Do you know of other APA members that have a somewhat strong to high level of knowledge in any of the above areas? Please include their name, contact information and issue area.
4.
Are there other issues areas in which you have a somewhat strong to high level of knowledge?
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