The ALIGNED Nurse Survey
First, Last Name
*
Phone Number
*
Email
*
Are you a Business Owner?
*
Yes
No
What is your Business about? (Write N/A if no Business)
*
What is your age range?
*
25 - 35 years old
35 - 45 years old
45 - 55 years old
55 - 65 years old
65+
What State do you live in?
*
In what category of nursing do you practice?
*
Nurse Practitioner
Registered Nurse
Licensed Practical/Vocational Nurse
Other
Do you rent or own your home?
*
Rent
Own
How many children do you have under the age of 18?
1
2
3
4+
How likely are you to do each of the following in the next 18 months?
Rent a Vehicle
*
Always
Frequently
Sometimes
Rarely
Never
Change Banks
*
Always
Frequently
Sometimes
Rarely
Never
Switch cable, phone or internet service providers
*
Always
Frequently
Sometimes
Rarely
Never
Visit a sporting goods retailer
*
Always
Frequently
Sometimes
Rarely
Never
Purchase sports equipment
*
Always
Frequently
Sometimes
Rarely
Never
Apply for a mortgage
*
Always
Frequently
Sometimes
Rarely
Never
Purchase television or other major consumer electronics
*
Always
Frequently
Sometimes
Rarely
Never
In the past 6 months, which of the following hobbies have you participated in?
*
Hiking
Yoga
Gardening
Travel in other States
Watching sports
Attending theatre
Going to the movies
Baking
Retreat
International Travel
Philanthropic Service Trip
Medical Missions
Who is your current financial institution?
*
Chase Bank
Bank of America
Wells Fargo
Citibank
Goldman Sachs
Morgan Stanley
Morgan Stanley
TD Bank
PNC Financial Services
Capital One
Navy Federal Credit Union
Other
What type of sponsor would YOU like to see sponsor an event you attend?
*
Airline
Automotive
Car Rental
Consumer Electronics
Credit Card
Financial Institution
Furniture & Appliance Retailer
Hotel
Insurance (Life)
Insurance (Property & Casualty)
Investment Advisor
Law Firm
Mortgage Broker
Retail
Smartphone Manufacturer
Sport Equipment/Apparel
Telecommunications
Travel
Other
Which of the following automobile brands do you currently own/lease?
*
Ford
Chevrolet
Toyota
Honda
Nissan
Jeep
Subaru
Hyundai
Ram Trucks
Tesla
GMC
BMW
Volkswagen
Chrysler
KIA
Other
Who is your current phone/internet provider?
*
Comcast
AT&T Internet
Charter Spectrum
Verizon
Cox Internet
CenturyLink
Frontier Communications
T-Mobile
Altice USA (Optimum and Suddenlink)
Mediacom Communications
Windstream
Spectrum Internet
Hughesnet
Kinetic
Xfinity
Sprint
Other
Who is your current insurance provider?
*
State Farm
Berkshire Hathaway
Progressive Corporation
Allstate Corporation
USAA
Liberty Mutual Insurance Group
Travelers Companies Inc.
Nationwide Mutual Insurance Company
American Family Insurance Group
Farmers Insurance Group
TransAmerica
NAIN
AIG
North American
F&G
Nationwide
Mutual of Omaha and Americo
Pacific life
New York Life
Other
What bucket list excursion would you desired to try?
*
African Safari
Pyramids of Egypt
Waterfalls of the World
Cruise
In the past 12 months, which of the following magazines/publications have you purchased?
*
Reader's Digest
National Geographic
People
Better Homes & Gardens
Time
The New Yorker
Sports Illustrated
Forbes
Vogue
Rolling Stone
Other
What destinations are you likely to travel to within the next 18 months?
*
Have you ever attended a Financial Summit?
*
Yes
No
I don't recall
What is the one thing that positively stood out at ANY Summit you've ever attended before?
*
If a company sponsors an event/summit for Women Nurses, how likely are you to consider their product/service for future purchases (assuming price and quality are the same)?
*
Very Likely
Somewhat likely
Not at all
If an evening of Fashion and Banquet Gala was added after the event/summit, would you attend the evening Banquet/Gala?
*
Yes
No
Maybe