Database Survey

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Please answer the following questions.

* Indicates required field

Which of the following best describes you? *

Faith Community (Parish) Nurse Nurse (Never Attended Parish Nurse Foundations Course) Other

If Other please specify: *

Which of the following best describes your experience with health ministry? *

I serve as a part of a health ministry team at my faith organization. I lead the health ministry team at my congregation. I have experience working with a health ministry but am no longer active. I received faith community nurse training but have not yet established a health ministry. I work within the community as a faith community nurse. Other

If other please specify: *

? *

Less than $10,000 $10,001 - $25,000 $25,001 - $40,000 $40,001 - $70,000 $70,001 - $100,000 Greater than $100,000 Prefer not to say

Please complete the following to be added to our Indiana Faith Community Nurse database. You information will not be shared.

Address *

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The Indiana Center for Parish Nursing
indianaparishnurses@gmail.com

Home
About ICPN
- ICPN Leadership
- Our mission
About Parish Nursing
RESOURCES
Contact