Member Event Survey

We value your opinion. Please take time to give honest feedback about the information shared with you today.

Valoramos su opinión. Tómese el tiempo que necesite para darnos su opinión sincera acerca de la información que compartimos con usted en el día de hoy.

This survey is available in English and Spanish, please select your preferred option in the top right corner.

Esta encuesta está disponible en inglés y español. Seleccione su opción preferida en la esquina superior derecha.

Question Title

* 1. Please enter event name, date, and topic.

Question Title

* 2. How did you hear about this event?

Partners' Website

Partners' Email

Flyer

Social Media

From a Friend or Co-Worker

Newspaper/Radio

Other (please specify)

Question Title

* 3. What best describes you?

Partners' Member (a person who receives services)

Family Member/Guardian of a person who receives services

Community Stakeholder (employed by a school, local government, non-profit, advocacy agency or other community organization)

Provider in the Partners' Network

Other (please specify)

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* 4. How helpful was the information shared with you today?

Not at all helpful

Somewhat helpful

Very helpful

Not at all helpful

Somewhat helpful

Very helpful

Question Title

* 5. How likely are you to use any of the resources shared with you today?

Not at all likely

Somewhat likely

Very likely

Not at all likely

Somewhat likely

Very likely

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* 6. Are there other topics or services you would like to learn more about at future events? If so, please list them below.

Question Title

* 7. Partners would like to share helpful information and resources. If you wish to receive news and updates from Partners, please add your contact information below. By entering your information, you are consenting to receive emails from Partners. You may opt out at any time.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Question Title

* 8. Please tell us your preference for receiving news from Partners.

News for Members

News for Providers

News for Community Stakeholders

All Partners' News

Other (please specify)

Member Event Survey

Question Title

* 1. Please enter event name, date, and topic.

Question Title

* 2. How did you hear about this event?

Question Title

* 3. What best describes you?

Question Title

* 4. How helpful was the information shared with you today?

Question Title

* 5. How likely are you to use any of the resources shared with you today?

Question Title

* 6. Are there other topics or services you would like to learn more about at future events? If so, please list them below.

Question Title

* 7. Partners would like to share helpful information and resources. If you wish to receive news and updates from Partners, please add your contact information below. By entering your information, you are consenting to receive emails from Partners. You may opt out at any time.

Question Title

* 8. Please tell us your preference for receiving news from Partners.

Question Title

* 9. Do you have any other comments or suggestions?