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NASCO Member Health Assessment Scheduling Form
This form will help us find a time that will work for your co-op to participate in a member health assessment interview!

Ideally, health assessment interviews include multiple participants and have representation of the general membership/residents, the board of directors, staff, and any other major stakeholders in the health of your co-op. We recognize that it can be difficult to get all of those people together to meet, and we can work to accommodate requests to meet during the work day, in the evenings, or on weekends as needed!

Health assessment interviews generally take about 2 hours, and include questions about your co-op's policies, financial status, the dissemination of information within your organization, cooperative culture, and a variety of other topics. You can find the assessment questions here.

Thank you for participating in the NASCO member health assessment program!
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Which co-op are you affiliated with?
If your co-op is not listed above, what is its name and is it a NASCO active member?
Who will be our primary contact(s) for the health assessment process? This will be the person or people we work with for scheduling, and will be who we distribute our assessment results to, but they may not necessarily be a participant in the health assessment interview.
Please provide an e-mail address for all people listed as primary contacts above.
Please choose 2-3 weeks that include dates that would work well for your co-op to participate in a health assessment interview. If there are specific dates or times within these ranges that would work, you can specify that in the next question. All date ranges run Sunday through Saturday.
If there are specific dates or times you prefer within the ranges you selected above, please provide details here (including your time zone). For example, it often works well for co-ops to schedule their health assessment interview during an existing house meeting, membership meeting, etc.
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