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How did you hear or learn about this conference?



 
 
 
 
 
 
 
 
 
 
Please specify the main reason for attending this conference:(specify One)
 
 
 
 
 
 
 
 
Which speaker(s) were you most interested or influenced by?
 
 
 
 
 
 
 
 
 
How would you rate each of presentor?
ExcellentGoodNeutralBelow AveragePoor
Ricki Sabia
Dr. Richard Jackson
Michael Remus
Mitchell Levitz
Dr. George Capone, M.D.
Dr. DeAnna Horstmeier
Amy McDonald
 
 
Did the conference fulfill your reason for attending?
 
 
 
 
 
Please indicate your overall satisfaction with this conference? (Techniques for Success)
Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery Dissatisfied
Online registration
On-site registration
Conference location
Venue
Food and Beverages
 
 
What was the most beneficial aspect of the conference?
   
 
 
What other topics or themes are of interest to you for the next conference?
   
 
 
Would you recommend this conference to others?
 
 
 
 
 
Considering the month of October. Did this conference fit into your schedule well?
 
 
 
 
 
 
What would be a good time of the year for us to hold the next conference?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Do you see a benefit to expanding this conference over a two day course?
 
 
 
 
 
If you answered YES to the previous question, what days of the week do you see as a best fit?
 
 
 
 
      
 
 
If you know of any colleagues who might be interested in this conference next year, please provide their name and email address.
   
 
 
Please provide any recommendations for next year or future conferences with your general thoughts/commnents/concerns, etc.
   
 
 
Optional Information:

Contact Information
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Last Name :
Address 1 :
Address 2 :
City :
    State :       Zip :  
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