Medicare 101 Seminar August 25 Question Title * 1. Please provide your full name Question Title * 2. Please provide your email address for confirmation Question Title * 3. Will you be attending the Medicare seminar? Yes No Maybe Question Title * 4. What topics are you most interested in learning about during the seminar? Select all that apply. Medicare Part A and B Medicare Advantage Plans Prescription Drug Coverage Enrollment Process Cost and Savings Question Title * 5. What is your current familiarity with Medicare? Very familiar Somewhat familiar Not familiar Done