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Survey
1. Please evaluate our speakers:
Sondra Davis
Excellent
Very Good
Good
Fair
Poor
Dr. Dale Henry
Excellent
Very Good
Good
Fair
Poor
David Barber
Excellent
Very Good
Good
Fair
Poor
Mike Chaney
Excellent
Very Good
Good
Fair
Poor
John Leslie , M.D.
Excellent
Very Good
Good
Fair
Poor
Lee Greer, M.D.
Excellent
Very Good
Good
Fair
Poor
2. Please evaluate our conference:
Overall Quality of Conference
Excellent
Very Good
Good
Fair
Poor
Appropriateness of Topics
Excellent
Very Good
Good
Fair
Poor
Usefulness of Conference Topics
Excellent
Very Good
Good
Fair
Poor
Conference Organization
Excellent
Very Good
Good
Fair
Poor
Physical Accommodations
Excellent
Very Good
Good
Fair
Poor
3. How helpful was the conference to you?
Most Helpful
Helpful
Not Helpful
4. What did you like most about the conference?
5. What did you like least about the conference?
6. Please list topics that you would like to be discussed at future conferences.
7. Please list other suggestions or comments.
8. Please indicate in the space below if you represent a Provider, an Employer or Both.
Provider
Employer
Provider / Employer
Name
First
Last
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