2011 Leadership Development Institute Evaluation Survey

1. Please Complete to Assist in Designing Future Institutes

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* 1. Please check the appropriate category and term of office:

2011 Chapter President

2011 Chapter President-Elect

Other Chapter Representative

2011 Division Chair

2011 Division Chair-Elect

Other Division Representative

Other

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* 2. How many Leadership Development Institutes have you attended?

None

1-2

3-5

6 or more

Other (please specify)

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* 3. Which session did you find most helpful? Explain:

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* 4. Which session did you find least helpful? Explain:

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* 5. Please give us suggestions for future Institutes or Summits:

Format

Content

Topics

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* 6. What is your overall view of the effectiveness of the Institute? (Please check your response 1=not effective through 5=very effective). Space is provided below if you would like to make specific suggestions or comment on any session. Evaluate only the sessions you attended.

	Did Not Attend	1	2	3	4	5
President's Remarks	President's Remarks Did Not Attend	President's Remarks 1	President's Remarks 2	President's Remarks 3	President's Remarks 4	President's Remarks 5
Candidate Panel	Candidate Panel Did Not Attend	Candidate Panel 1	Candidate Panel 2	Candidate Panel 3	Candidate Panel 4	Candidate Panel 5
Quick Takes	Quick Takes Did Not Attend	Quick Takes 1	Quick Takes 2	Quick Takes 3	Quick Takes 4	Quick Takes 5
Loyalty Project	Loyalty Project Did Not Attend	Loyalty Project 1	Loyalty Project 2	Loyalty Project 3	Loyalty Project 4	Loyalty Project 5
Web Sites - Operation Vitality	Web Sites - Operation Vitality Did Not Attend	Web Sites - Operation Vitality 1	Web Sites - Operation Vitality 2	Web Sites - Operation Vitality 3	Web Sites - Operation Vitality 4	Web Sites - Operation Vitality 5

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* 7. General comments or specific suggestions for any session:

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* 8. Please provide your name (optional):

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* 9. Please provide e-mail address (optional):

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* 10. Contact me to discuss the following topics:
(please include name, telephone number, Skype number or other contact information).