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Name:
 
 
Other
 
 
 
 
Which is the most convenient time to have an event?
 
Weekday morning
 
Weekday afternoon
 
Weekday evening
 
Weekend
 
No preference
 
 
 
How far are you willing to travel?
 
Up to 10 miles
 
11 - 20 miles
 
21 - 30 miles
 
31 - 40 miles
 
Over 40 miles
 
I am not willing to travel for an event
 
 
 
Would you recommend our event to a friend or colleague?
 
Yes
 
No
 
 
 
Do you have any suggestions for speakers? If so, what?
   
 
 
 
Comment:
   
 
 
 
Do you have any suggestions for a future event?
   
 
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