Pittburgh ACS Questionnaire

Thanks for taking a look at our questionnaire. We will be very appreciative if you would take the time to complete the form in its entirety, or any part of it that interests you.

Are you a member of the National American Chemical Society?

Yes - - - - - - - - - - No

Are you a member of one of the Groups or Affliates of the Pittsburgh Section of the American Chemical Society?

Yes - - - - - - - - - - No

If your answer to either of the preceding questions is no, and you would like information on membership in the National ACS and/or in a Group or Affliate of the Pittsburgh Section, please submit the address form at the end of this survey.

Please give us your suggestions for making The Crucible more useful or interesting to you:

What Group or Affiliate are you either a member of or would you be interested in learning more about?

	Coal Technology Group
	Education Group
	Enviromental Chemistry Group
	Polymer Group
	Retired Chemists Group
	Graduate Students Affiliates
	Western Pennsylvania Technicians Affiliates

Would you be interested in learning how to participate in the activities of any of the preceding Groups or Affiliates?

Have you attended any activities of the Pittsburgh Section of the American Chemical Society within the past two years?
Yes - - - - - - - - - - No

If your answer to the preceding question was "Yes", how did you learn of the activity you attended:

	On the Web
	Saw it in the Crucible
	Received a direct mailing
	From a colleague
	Other

	Unaware of scheduled meetings or activity
	No topics of interest to me
	Could not arrange my schedule
	Meetings too far from my location
	I have too many other meetings I attend regularly

On the other hand, if you have attended meetings or activities in the Section, what did you find most attractive to you about the event?

	Interested in a science or technology I heard
	Met people from a range of backgrounds
	Had the opportunity for in depth discussions of a topic of interest to me

Topics you would be especially interested to have Pittsburgh Section of the ACS address:

Which services of the National American Chemical Society do you find most useful to you (you may find a description of these on the web site http://www.acs.org):

	National Meeting
	Professional Journals
	Professional "Networking" opportunities
	Receipt of Chemical & Engineering News
	Assistance in job placement
	Member life insurance
	Member credit card
	Representation of the chemical profession to Congress and other government bodies
	Other and/or comments

Name...............
Company..........
Street...............
City.................
State................
e-mail..............

	You wish to be added to our mailing list

	You would like information on membership in the National ACS

	You would like information on joining the Groups or Affliliates of the Pittsburgh Section

NOTE: Please use your Browser Back-Button to return to the Pittsburgh Section Web Site after you submit the form.

	Most Issues
	About one-half of the issues
	Fewer than one-half of the issues
	Never