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2013
July
S
Schools ConferenceSeminar Feedback and Attendee In
Schools ConferenceSeminar Feedback and Attendee In
0%
Please identify the seminar you are attending today:
-- Select --
Seminar 1
Seminar 2
Seminar 3
Seminar 4
Seminar 5
Seminar 6
Seminar 7
Seminar 8
Seminar 9
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
What grade level do you serve?
Early Childhood
Public K-3
Public 4-6
Public Middle School Grades 6-8
Public 9-12 High School
Private K-6
Private 7-12
Other
Other
Highest Level of Education Completed:
High School or less
Some College
College Degree
Graduate/Post Graduate
Current Annual Household Income (Optional):
up to 20,000
20,001 - 40,000
40,001 - 60,000
60,001 - 80,000
80,001 - 100,000
100,001 - 150,000
150,001 - 200,000
200,001 - 250,000
250,000 or over
Why did you select today's seminar date and location? (Select the most important one)
Date
Seminar City
Hotel Location
Other
How did you pay for today's seminar?
Personal funds
Company paid
Company reimbursed
Personal gift
Other
What other seminars have you attended? (Select all that apply):
Seminar 1
Seminar 2
Seminar 3
Seminar 4
Seminar 5
Seminar 6
Seminar 7
Seminar 8
Seminar 9
What other seminars are you interested in attending? (Select all that apply):
Seminar 1
Seminar 2
Seminar 3
Seminar 4
Seminar 5
Seminar 6
Seminar 7
Seminar 8
Seminar 9
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
Did you make the decision to attend today's seminar?
Yes
No, my organization sent me.
Name:
Company
Work Phone
Mailing Address
Zip
Email
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