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Appendix I

Conference Title:________________________________________________

Conference Dates: ______________________________________________

We would like to hear from conference participants about what you liked and what you didn't like at this conference. Please take a minute to detach the evaluation from this program, complete it, and either deposit it in the box marked "Conference Evaluations" near the registration table or return it to our office later. Thank you.

Poor Excellent

1. Conference Registration 1 2 3 4 5 6 7 8 9 10

Comments ________________________________________________________

________________________________________________________________

2. Opening Session 1 2 3 4 5 6 7 8 9 10

Comments ________________________________________________________

________________________________________________________________

3. Topic:General Session 1 1 2 3 4 5 6 7 8 9 10

Comments ________________________________________________________

_________________________________________________________________

4. Speaker:General Session 1 1 2 3 4 5 6 7 8 9 10

Comments _______________________________________________________

________________________________________________________________

5. Luncheon Menu 1 2 3 4 5 6 7 8 9 10

Comments _______________________________________________________

6. Overall Quality of Workshops 1 2 3 4 5 6 7 8 9 10

Comments _______________________________________________________

________________________________________________________________

7. Special Event 1 2 3 4 5 6 7 8 9 10

Comments _______________________________________________________

________________________________________________________________

8. Was the purpose of the conference clear to you when you registered?

_____ Yes _____ No ______ Somewhat

Comments ______________________________________________________

_______________________________________________________________

9. What were you looking for from the conference?

_____New Information _____Networking ______Rejuvenation ______Other

If "other," please describe _________________________________________

__________________________________________________________________

10. Did you find what you were looking for?

_____ Yes _____ No _____ Somewhat

Comments _______________________________________________________

________________________________________________________________

11. What did you enjoy most about the conference? _____________________

____________________________________________________________________

12. What did you enjoy least? __________________________________________

_____________________________________________________________________

13. Is there anything else you would like us to know about the conference?

____________________________________________________________________

____________________________________________________________________

Please deposit in the "Conference Evaluations" box at the conference registration table or return to: Agency Name

Contact

Agency Address

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