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1. I am a:

I am a: Service provider

Speaker/ presenter

Parent

If you are a parent/ family member, please note your loved one's age:

2. I live in:

I live in: Metro/ Downstate/ Long Island

Capital region/ Albany

Southern Tier/ Binghamton

Central New York (Syracuse/ Rochester)

Northern New York/ Adirondack region

Western New York/ Buffalo

New England

Eastern Pennsylvania/ New Jersery

Other (please specify)

3. Have you ever attended PWANY's Annual Conference?

Have you ever attended PWANY's Annual Conference? Yes

4. Did you attend this year's conference at the Gideon Putnam in Saratoga Springs? If "no", skip to question 7.

Did you attend this year's conference at the Gideon Putnam in Saratoga Springs? If "no", skip to question 7. Yes

5. How would you rate the conference on the following:

	Very Dissatisfied	Dissatisfied	Unsure	Satisfied	Very Satisfied	N/A
Speakers/ topics	*How would you rate the conference on the following: Speakers/ topics Very Dissatisfied	Speakers/ topics Dissatisfied	Speakers/ topics Unsure	Speakers/ topics Satisfied	Speakers/ topics Very Satisfied	Speakers/ topics N/A
Ease of registration process	Ease of registration process Very Dissatisfied	Ease of registration process Dissatisfied	Ease of registration process Unsure	Ease of registration process Satisfied	Ease of registration process Very Satisfied	Ease of registration process N/A
Opportunities to "network" (with other families, speakers, and Board members)	Opportunities to "network" (with other families, speakers, and Board members) Very Dissatisfied	Opportunities to "network" (with other families, speakers, and Board members) Dissatisfied	Opportunities to "network" (with other families, speakers, and Board members) Unsure	Opportunities to "network" (with other families, speakers, and Board members) Satisfied	Opportunities to "network" (with other families, speakers, and Board members) Very Satisfied	Opportunities to "network" (with other families, speakers, and Board members) N/A
New attendee sharing session prior to start of conference	New attendee sharing session prior to start of conference Very Dissatisfied	New attendee sharing session prior to start of conference Dissatisfied	New attendee sharing session prior to start of conference Unsure	New attendee sharing session prior to start of conference Satisfied	New attendee sharing session prior to start of conference Very Satisfied	New attendee sharing session prior to start of conference N/A
Vendor tables	Vendor tables Very Dissatisfied	Vendor tables Dissatisfied	Vendor tables Unsure	Vendor tables Satisfied	Vendor tables Very Satisfied	Vendor tables N/A
Companion care	Companion care Very Dissatisfied	Companion care Dissatisfied	Companion care Unsure	Companion care Satisfied	Companion care Very Satisfied	Companion care N/A
Lunches	Lunches Very Dissatisfied	Lunches Dissatisfied	Lunches Unsure	Lunches Satisfied	Lunches Very Satisfied	Lunches N/A
Hotel accommodations	Hotel accommodations Very Dissatisfied	Hotel accommodations Dissatisfied	Hotel accommodations Unsure	Hotel accommodations Satisfied	Hotel accommodations Very Satisfied	Hotel accommodations N/A
Travel to location	Travel to location Very Dissatisfied	Travel to location Dissatisfied	Travel to location Unsure	Travel to location Satisfied	Travel to location Very Satisfied	Travel to location N/A
Affordability of conference fees	Affordability of conference fees Very Dissatisfied	Affordability of conference fees Dissatisfied	Affordability of conference fees Unsure	Affordability of conference fees Satisfied	Affordability of conference fees Very Satisfied	Affordability of conference fees N/A
Affordability of hotel	Affordability of hotel Very Dissatisfied	Affordability of hotel Dissatisfied	Affordability of hotel Unsure	Affordability of hotel Satisfied	Affordability of hotel Very Satisfied	Affordability of hotel N/A

Comments on any of the above or suggestions for improvement:

6. Would you return to the Gideon Putnam?

Would you return to the Gideon Putnam? Yes

7. If you did not attend conference this year, why not? Select all that apply.

If you did not attend conference this year, why not? Select all that apply. Other commitments

Expense/ cost

Location/ distance for travel

Unable to book a hotel room

Not interested in topics presented

Other (please specify)

8. If conference were relocated to another area of the state in the future, would this affect your decision to attend?

If conference were relocated to another area of the state in the future, would this affect your decision to attend? Yes, I would be more likely to attend if conference were closer to my home/ place of work.

Yes, I would be less likely to attend if conference were further away from my home/ place of work.

No, I would travel to be able to attend, regardless of distance.

No, my decision would be based on the agenda/ speakers, rather than the distance.

No, I likely would not attend regardless.

Additional comments:

9. What area(s) of the state would you be interested in having a conference located in?

What area(s) of the state would you be interested in having a conference located in? Metro/ Downstate

Capital region/ Albany

Southern Tier/ Binghamton

Central New York (Syracuse/ Rochester)

Western New York/ Buffalo

10. Are there topics/ speakers that you would like to see on a future conference schedule?

Are there topics/ speakers that you would like to see on a future conference schedule?

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