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Survey Name Seminar Feedback and Attendee Information
Description Demographics, seminar evaluation and motivation to attend.
Category Education   (Browse All Categories)

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Please identify the seminar you are attending today:
 
   
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
 
   
Occupation
Computer Tech.
Education
Engineering
Professional
Production Worker
Salesperson
Finance
Human Resources/Training
Legal
First-Line Supervisor
Customer Service Rep.
Executive
Manufacturing
Marketing/Advertising
Medical
Middle Management
Senior Manager
Administrative Employee
Sales
Services
Other
 
   
Do you have people that report to you? If yes, how many?
 
 
   
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 far did you travel to today's seminar?
0-25 miles
26-50 miles
Over 50 miles
 
   
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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