Help decide the future of the [name] Community Question Title * 1. Overall, how helpful or unhelpful do you find the [name] community Very helpful Somewhat helpful Neither helpful nor unhelpful Somewhat unhelpful Very unhelpful Question Title * 2. Approximately for how many years have you been a member of the community? Less than a year 1 to 2 years 2 to 3 years 3 to 4 years 4 to 5 years 5 to 6 years 7 to 8 years 8 to 9 years 9 to 10 years More than 10 years Question Title * 3. Approximately for how many years have you a customer/client/user of the product/services? Less than a year 1 to 2 years 2 to 3 years 3 to 4 years 4 to 5 years 5 to 6 years 7 to 8 years 8 to 9 years 9 to 10 years More than 10 years Question Title * 4. Which of the following best defines your interest in [topic] Answer 3 Answer 5 Answer 1 Answer 4 Answer 2 Answer 6 Other (please specify) Question Title * 5. What is the biggest [topic] related challenge you would like to overcome which the community DOESN'T currently help you with? Question Title * 6. Optional: How important are each of the following aspects of the topic to you? Very important Somewhat important Neither important nor unimportant Somewhat unimportant Irrelevant Option 2 Option 2 Very important Option 2 Somewhat important Option 2 Neither important nor unimportant Option 2 Somewhat unimportant Option 2 Irrelevant Option 1 Option 1 Very important Option 1 Somewhat important Option 1 Neither important nor unimportant Option 1 Somewhat unimportant Option 1 Irrelevant Option 3 Option 3 Very important Option 3 Somewhat important Option 3 Neither important nor unimportant Option 3 Somewhat unimportant Option 3 Irrelevant Option 4 Option 4 Very important Option 4 Somewhat important Option 4 Neither important nor unimportant Option 4 Somewhat unimportant Option 4 Irrelevant Option 5 Option 5 Very important Option 5 Somewhat important Option 5 Neither important nor unimportant Option 5 Somewhat unimportant Option 5 Irrelevant Other (please specify) Question Title * 7. Please rank, by order of priority (with 1 being the highest), which elements of the community are most important to you? 1 2 3 4 5 6 7 Element 1 (i.e I can get quick solutions to my problems) 1 2 3 4 5 6 7 Element 5 1 2 3 4 5 6 7 Element 2 (i.e. I can share my problems etc...) 1 2 3 4 5 6 7 Element 3 (i.e. I can find the latest advice/expertise 1 2 3 4 5 6 7 Element 4 1 2 3 4 5 6 7 Element 6 1 2 3 4 5 6 7 Element 7 Question Title * 8. What would you most like to change about the [name] community? Next