Conversations on MS Evaluation

Thank you for joining us for Conversations on MS! Your feedback helps us make our education programs the best they can be. Please take a few moments to share your thoughts below.

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* 1. When did you attend Conversations on MS?

Date / Time

Date

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* 2. Please rate your satisfaction with:

	5 Very Satisfied	4 Satisfied	3 Neutral	2 Dissatisfied	1 Very Dissatisfied
Event Format	Event Format 5 Very Satisfied	Event Format 4 Satisfied	Event Format 3 Neutral	Event Format 2 Dissatisfied	Event Format 1 Very Dissatisfied
Information Provided	Information Provided 5 Very Satisfied	Information Provided 4 Satisfied	Information Provided 3 Neutral	Information Provided 2 Dissatisfied	Information Provided 1 Very Dissatisfied

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* 3. Comments regarding the format:

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* 4. Comments regarding the information provided:

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* 5. What is your connection to MS?

I have MS

I am a support partner

I am a healthcare provider

Other (please specify)