AMERICAN CHEMICAL SOCIETY

CONNECTICUT VALLEY LOCAL SECTION SURVEY

SPRING 2005

Return this survey by April 15 to be eligible for the prize drawing at the April 23 meeting!

As your local section, we want to serve you and provide activities that you will find useful and interesting. Please take a moment to fill out this survey; we will use the information to plan programs that you will find interesting and helpful. E-mail jane.knox@uconn.edu for an electronic version that you can return by e-mail.

Name: ________________________________

Home Address: ___________________________ Work Address: __________________________

___________________________ __________________________

Phone: (h) _____________ (w)_______________

E-mail: _________________________________

1. When was the last time you attended a meeting?

( ) 2004 ( ) 2003 ( ) 2002 ( ) 2001 ( ) pre-2001 ( ) never

2. Which options do you prefer for a meeting (check all that apply)?

( ) Mon ( ) Tues ( ) Wed ( ) Thurs ( ) Fri ( ) Sat afternoon ( ) Sat. evening

3. How often do you prefer to meet?

( ) eight times a year ( ) six times a year ( ) four times a year ( ) other (specify)

4. Check SIX topics that you would like to see featured at a meeting:

( ) agricultural chemistry ( ) chemistry and the law ( ) geochemistry

( ) analytical chemistry ( ) computers ( ) history of chem.

( ) astrochemistry ( ) pharmaceuticals, medicine ( ) inorganic chem.

( ) biochemistry ( ) energy ( ) nuclear chemistry

( ) biotechnology ( ) engineering ( ) organic chemistry

( ) chemical education ( ) environmental chemistry ( ) physical chem.

( ) chemical safety ( ) forensic science ( ) polymer chem.

Other: (specify)

5. What would make you more likely to attend a meeting of the Connecticut Valley Local Section?

Check all that apply

( ) if I had more time ( ) more time to socialize

( ) more conveniently located meetings ( ) more frequent meetings

( ) more interesting/germane topics ( ) less frequent meetings

( ) less expensive meals ( ) nothing

( ) better menus ( ) other (specify)

6. In addition to meetings, the Connecticut Valley Section has several positions and committees that plan and implement programs. Check the committees on which you might be willing to serve:

( ) awards ( ) hospitality and membership

( ) career assistance ( ) national chemistry week

( ) education (includes olympiad) ( ) nominations

( ) government relations ( ) professional development

( ) hs teacher award ( ) public relations

( ) at-large member ( ) student affairs

7. What special interests or skills would you be willing to share with the Connecticut Valley Section?

8. Would you like to see specific groups organized by the Connecticut Valley Sections (e.g. younger chemists group, women chemists group, interest groups etc.)?

9. What are the biggest challenges that face you in your professional life that the local section might be able to help you with?

10. Other comments:

Please return to: Jane Knox, Department of Chemistry, University of Connecticut

55 North Eagleville Rd, Unit 3060, Storrs, CT 06269-3060

FAX: (860) 486-2981 jane.knox@uconn.edu