*1.Email(Required.)

2.Name

3.What event did you attend?

Staten Island

Long Island

Queens

Hudson Valley

Mohawk Valley

Brooklyn

Manhattan

Capital

Central New York

Southern Tier

Plattsburgh

Gouverneur

4.What did you attend as?

Care Management

Member/Family Advocate

Provider tabling at the event

Other (please specify)

5.How would you rate your overall experience at the Networking Event?

Excellent

Good

Average

Needs Improvement

6.How would you rate your interaction with the exhibitors?

Excellent

Good

Average

Needs Improvement

7.Did you find the information provided relevant and helpful?

Yes

No

8.Are there any specific sessions, workshops, resources you would like to see at upcoming events?

9.How often would you like the Networking Events to be held in each Region?

Twice a Year

Annually

10.How likely are you to attend a future event organized by ACANY and LIFEPlan CCO?

Unlikely

Likely