* 1. What do you think the top priorities for the Faculty should be? (Tick as many as apply)

* 2. What services and resources do you think the Faculty should offer its members? (Tick as many as apply)

* 3. From what you know, would you be interested in applying to become a Fellow or Member of the Faculty of Clinical Informatics?

* 4. If you would consider joining, what would be most important for you to gain from membership? (Tick as many as apply)

* 5. If you wouldn't consider joining or are undecided, what would put you off? (Tick as many as apply)

* 6. Which clinical profession do you belong to?

* 7. If you are a Clinical Informatician, how much Clinical Informatics experience do you have?

* 8. Please add any other comments you would like to make

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