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RN-BS Alumni Nursing Survey


 RN-BS Baccalaureate Nursing Alumni Survey

First Name            

Last Name
 
     
Please answer candidly. All information is confidential and only aggregate data will be disseminated.
  1. Graduation Year
     
  2. Date of Survey
     
  3. Gender Male   Female

     
  4. Age
     
  5. Marital Status   Single   Married   Separated   Divorced   Widowed

     
  6. Enrollment status while in the nursing program
    Full-Time   Part-Time   Full-Time/Part-Time

     
  7. Licensed in what state?
     
  8. Were you employed as a Registered Nurse?
    Yes, Full Time   Yes, Part Time   No

    Name of Employer (if applicable)?
     
  9. Remained employed in the same institution after graduation?   Yes   No

     
  10. Changed employment after graduation?   Yes   No

     
  11. Changed position/responsibility after graduation?
    Yes   No
    If Yes,


     
  12. If you are not employed in nursing, which applies to you?
    Not seeking employment   Seeking nursing employment   Seeking non-nursing employment

     
  13. Which of the following incentives encourage you to remain in your current job? Please check all that apply.
    Salary
    Travel Distance
    Specialty
    Assignment Shift
    Work Schedule
    Benefits
    Agency Reputation
    Continuing Education Opportunities
    Other

     
  14. Range of current salary (optional)
    Full-Time $20,000-25,000
    Full-Time $26,000-29,000
    Full-Time $30,000-34,000
    Full-Time $35,000-39,000
    Full-Time $40,000+
    Part-Time $ per hour

     
  15. Master's Degree
    Do not plan to enroll   Plan to enroll   Already enrolled   Completed degree
    Enrolled in another degree program   When?   Where?   Major?

     
  16. Certifications in Specialty Areas


     
  17. Professional Memberships

 
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