Swift Currie Webinar Evaluation Form

Please provide your feedback.

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* 1. I am an

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* 2. Overall, how would you rate the content of the program?

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* 3. Did the program meet your expectations?

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* 4. Are there other topics that you would like covered? If so, what are they?

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* 5. How did you hear about the webinar? (Mark all that apply)

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* 6. Would you be interested in a webinar for your company, free of charge? If yes, please provide the topic(s) of interest.

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* 7. Other Comments

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* 8. If you are licensed with the Georgia Department of Insurance and would like to receive the 1 hour of ethics CE credit (approved for GA only), you MUST complete the following information:

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* 9. If you are a member of the State Bar of GA and would like to receive 1 hour of CLE credit (approved for GA only), you MUST complete the following information:

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* 10. If you would like to receive information on upcoming Swift Currie events, our firm newsletters or client alerts, please complete the following information: