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2011 TEXAS Meeting Survey
Please complete information below.
Please complete information below.
Name:
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
Email Address:
Occupation:
Occupation:
Dentist
Dental Assistant
Hygienist
Student
Lab Technician
Business Assistant
Other (please specify)
How would you rate the overall meeting this year?
How would you rate the overall meeting this year?
Excellent
Satisfactory
Needs Improvement
Unsatisfactory
Did you take advantage of the following TDA Services?
Did you take advantage of the following TDA Services?
Internet Cafe
CE Verification
Exhibit Hall Happy Hour
Registration Mobile Application
TDA Pavilion
UPS Business Center
Did the registration process run smoothly for you?
Did the registration process run smoothly for you?
Yes
No
If no, please explain?
Did the overall continuing education program meet your expectations?
Did the overall continuing education program meet your expectations?
Yes
No
If no, please explain?
Were there any speakers you would like to see again or you would like to recommend?
Were there any speakers you would like to see again or you would like to recommend?
Yes
No
If yes, please list:
Did you access your course handouts online prior to or following the meeting?
Did you access your course handouts online prior to or following the meeting?
Yes
No
If no, please explain:
Did the housing process run smoothly for you?
Did the housing process run smoothly for you?
Yes
No
If no, please explain:
How would you rate your exhibit hall experience?
How would you rate your exhibit hall experience?
Excellent
Satisfactory
Needs Improvement
Unsatisfactory
How much time did you spend in the exhibit area?
How much time did you spend in the exhibit area?
Less than 1 hour
1-2 hours
3-4 hours
more than 4 hours
did not visit exhibits
Did you delay your purchases prior to the TEXAS Meeting to shop exhibit hall specials?
Did you delay your purchases prior to the TEXAS Meeting to shop exhibit hall specials?
Yes
No
If no, please explain?
Do you plan to attend The TEXAS Meeting next year?
Do you plan to attend The TEXAS Meeting next year?
Yes
No
If no, why not?
If no, why not?
I won't require CE credit
It's too expensive
I have a timing conflict
Programs did not meet my expectations
Other (please specify)
In preparation for future TEXAS Meetings, what is the best form of communication?
In preparation for future TEXAS Meetings, what is the best form of communication?
TEXAS Meeting website
Direct Mail
Email Blast
Fax Blast
TDA Journal
Other (please specify)
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