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0%
 
 
Gender:
 
Male
 
Female
 
 
 
Please select your age group:
 
20 & under
 
21-25
 
26-30
 
31-35
 
36-40
 
41-45
 
46-50
 
51-55
 
56 & over
 
 
 
Occupation
 
Computer Tech.
 
Education
 
Engineering
 
Professional
 
Production Worker
 
Salesperson
 
Finance
 
Human Resources/Training
 
Legal
 
First-Line Supervisor
 
Customer Service Rep.
 
Executive
 
Manufacturing
 
Marketing/Advertising
 
Medical
 
Middle Management
 
Senior Manager
 
Administrative Employee
 
Sales
 
Services
 
Other
 
 
 
 
Highest Level of Education Completed:
 
High School or less
 
Some College
 
College Degree
 
Graduate/Post Graduate
 
 
 
How far did you travel to today's seminar?
 
0-25 miles
 
26-50 miles
 
Over 50 miles
 
 
 
Where did you initially hear about this seminar? (Select one):
 
Direct mail piece
 
Recommended by co-worker
 
Received catalog
 
My boss
 
Visited store
 
Contacted by sales associate
 
Recommended by friend/family member
 
Other
 
 
 
What influenced you to attend today's seminar? (Select one):
 
Direct mail piece
 
Recommended by co-worker
 
Received catalog
 
My boss
 
Visited store
 
Contacted by sales associate
 
Recommended by friend/family member
 
Other
 
 

How did you hear or learn about this conference?
 
Brochure
 
Flyer
 
Ad in [PRINT MATERIAL]
 
Sales Call
 
Conference Web Site
 
Referral
 
Fax
 
E-mail / Newsletter
 
Other
 
 
 

Please specify the main reason for attending this conference:
 
Content
 
Networking
 
Personal growth & development
 
Speakers
 
Other
 
 
 

Which speaker(s) were you mostly interested in listening to?
 
Speaker 1
 
Speaker 2
 
Speaker 3
 
Speaker 4

 
 

Did the conference fulfill your reason for attending?
 
Yes -- Absolutely
 
Yes -- But not to my full extent
 
No
 
 
 
What was the most beneficial aspect of the conference?
   
 
 

Please indicate your overall satisfaction with this conference
Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied
Conference Content
Registration Process
Venue
Food & Beverage
 
 


Thank you for taking the time to participate in this evaluation.
 
 
 
Do you presently have a dentist that you visit on a regular basis?
 
Yes
 
No
 
 
 
How often do you go to the dentist for checkups?
 
Every 6 months
 
At least once a year
 
At least every 2 years
 
At least once every 3-4 years
 
It depends, I go when I have trouble with my teeth
 
Please contact [email protected] if you have any questions regarding this survey.
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