ACPA Advocacy Survey

2. Which of the following describes your connection to the ACPA community? (check all that apply)

• ACPA Member
• Physician/Healthcare Provider
• Student/Trainee
• Cleft/Craniofacial Team Member
• Cleft/Craniofacial Team Leader/Coordinator
• Patient
• Family Member of Patient
• Staff Member of Allied Organization
• Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.

3. Which of the following public policy issues do you think is the most important facing the cleft palate and craniofacial community? (pick up to two options)

• Ensuring Lasting Smiles Act (ELSA)
• Ally's Act
• Accelerating Kids' Access to Care Act
• Medicaid coverage issues
• NIH research funding
• Increase support for orthodontic participation in team care
• Improve rural access to care
• Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.

4. If ACPA were to organize a volunteer network for getting involved in advocacy efforts, would you be interested in participating?

• Yes, I am interested
• Maybe, I would need more information
• No, I would not be interested

5. Which of the following would you be willing to do on behalf of a policy issue that ACPA supports or opposes? (check all that apply)

• Email my legislators
• Call my legislators
• Attend a Lobby Day in Washington DC
• Speak with the media
• Meet with my elected officials locally
• Host an elected official at our facility/institution
• Testify before Congress

6. Do you currently serve on a committee or board for a medical association or cleft/craniofacial organization other than ACPA?

• Yes
• No

7. Do you have a relationship with any federal elected officials?

• Yes
• No