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Traditional Alumni Nursing Survey

  Traditional Alumni Nursing 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 as RN in what state?

     
  8. Were you employed as a Graduate Nurse?
    Yes, Full Time Yes, Part Time No
    If yes, start date

     
  9. Remained in the same institution after passing NCLEX? Yes No

     
  10. Changed employment after passing NCLEX? Yes No   If yes, start date

     
  11. Did you wait until passing NCLEX before accepting employment as a professional nurse?
    Yes No  If yes, start date

     
  12. Current Nursing Position?
    Full Time Part Time   Length of Time Employed
    Position Title Specialty
    Setting Place of Employment (if applicable)  
     
     
  13. If you are not employed in nursing, which applies to you?
    Not seeking employment Seeking nursing employment Seeking non-nursing employment
    Please explain

     
  14. 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

     
  15. 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

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

     
  17. Certifications in Specialty Areas


     
  18. Professional Memberships
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