Please take the time to complete this questionnaire, the future and vitality of our club depends on your important input.

Name________________________________________________________
Address_______________________________________________________
City, State, Zip _________________________________________________
Call Sign______________________________________________________
Email Address__________________________________________________
Phone________________________________________________________
ARRL Member?  Yes ______    No _______

Are you presently active in Amateur Radio?  Yes ___  No ___

What aspects of Amateur Radio do you enjoy?


If not active, what is the reason?


Are you presently interested in upgrading your Amateur Radio license?
Yes ___  No ___
Upgrading to what class license?


Is there something the club could do to help you upgrade your license?
Yes ___  No  ___
Please explain:


How many club meetings have you attended during the last year?
If the meeting day was changed, would you be able to attend more often?
Please explain:


Are there other reasons for not attending meetings?
Please explain:


What can the club do to make the meetings something you would look forward to attending?