2019 Conference Evaluation Form Survey

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* 1. By including your contact information, you will be entered into a drawing for a free 2020 Conference Registration. The drawing will take place after the conclusion of the conference. You do not need to be present to win.

Name

Email Address

Phone Number

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* 2. Please indicate if you are a:

Person with ASD

Parent

Educator

Therapy Provider

Family Member

Other Professional

Other (please specify)

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* 3. Please rate each of the following:

	Poor	Fair	Good	Excellent	N/A
Pre-conference Workshop A: Comprehensive Evaluation for Special Education Eligibility	Pre-conference Workshop A: Comprehensive Evaluation for Special Education Eligibility Poor	Pre-conference Workshop A: Comprehensive Evaluation for Special Education Eligibility Fair	Pre-conference Workshop A: Comprehensive Evaluation for Special Education Eligibility Good	Pre-conference Workshop A: Comprehensive Evaluation for Special Education Eligibility Excellent	Pre-conference Workshop A: Comprehensive Evaluation for Special Education Eligibility N/A
Pre-conference Workshop B: I Think We’re Ready for This… ASD and Preparing for Puberty	Pre-conference Workshop B: I Think We’re Ready for This… ASD and Preparing for Puberty Poor	Pre-conference Workshop B: I Think We’re Ready for This… ASD and Preparing for Puberty Fair	Pre-conference Workshop B: I Think We’re Ready for This… ASD and Preparing for Puberty Good	Pre-conference Workshop B: I Think We’re Ready for This… ASD and Preparing for Puberty Excellent	Pre-conference Workshop B: I Think We’re Ready for This… ASD and Preparing for Puberty N/A
Pre-conference Workshop C: College and Career Ready IEPs Through the Lens of Autism	Pre-conference Workshop C: College and Career Ready IEPs Through the Lens of Autism Poor	Pre-conference Workshop C: College and Career Ready IEPs Through the Lens of Autism Fair	Pre-conference Workshop C: College and Career Ready IEPs Through the Lens of Autism Good	Pre-conference Workshop C: College and Career Ready IEPs Through the Lens of Autism Excellent	Pre-conference Workshop C: College and Career Ready IEPs Through the Lens of Autism N/A
Pre-conference Workshop D: It’s Different For Girls: Understanding and Supporting Females with ASD	Pre-conference Workshop D: It’s Different For Girls: Understanding and Supporting Females with ASD Poor	Pre-conference Workshop D: It’s Different For Girls: Understanding and Supporting Females with ASD Fair	Pre-conference Workshop D: It’s Different For Girls: Understanding and Supporting Females with ASD Good	Pre-conference Workshop D: It’s Different For Girls: Understanding and Supporting Females with ASD Excellent	Pre-conference Workshop D: It’s Different For Girls: Understanding and Supporting Females with ASD N/A
Friday Keynote: Kelly Mahler, MS, OTR/L	Friday Keynote: Kelly Mahler, MS, OTR/L Poor	Friday Keynote: Kelly Mahler, MS, OTR/L Fair	Friday Keynote: Kelly Mahler, MS, OTR/L Good	Friday Keynote: Kelly Mahler, MS, OTR/L Excellent	Friday Keynote: Kelly Mahler, MS, OTR/L N/A
Saturday Keynote: Russell Lehmann	Saturday Keynote: Russell Lehmann Poor	Saturday Keynote: Russell Lehmann Fair	Saturday Keynote: Russell Lehmann Good	Saturday Keynote: Russell Lehmann Excellent	Saturday Keynote: Russell Lehmann N/A

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* 4. Please rate your satisfaction with the following:

	Very Dissatisfied	Dissatisfied	Neutral	Satisfied	Very Satisfied
Registration Process	Registration Process Very Dissatisfied	Registration Process Dissatisfied	Registration Process Neutral	Registration Process Satisfied	Registration Process Very Satisfied
Conference Program	Conference Program Very Dissatisfied	Conference Program Dissatisfied	Conference Program Neutral	Conference Program Satisfied	Conference Program Very Satisfied
Conference App	Conference App Very Dissatisfied	Conference App Dissatisfied	Conference App Neutral	Conference App Satisfied	Conference App Very Satisfied
Networking Opportunities	Networking Opportunities Very Dissatisfied	Networking Opportunities Dissatisfied	Networking Opportunities Neutral	Networking Opportunities Satisfied	Networking Opportunities Very Satisfied
Exhibit Hall	Exhibit Hall Very Dissatisfied	Exhibit Hall Dissatisfied	Exhibit Hall Neutral	Exhibit Hall Satisfied	Exhibit Hall Very Satisfied
Conference Facilities	Conference Facilities Very Dissatisfied	Conference Facilities Dissatisfied	Conference Facilities Neutral	Conference Facilities Satisfied	Conference Facilities Very Satisfied
Speakers/Presenters Overall	Speakers/Presenters Overall Very Dissatisfied	Speakers/Presenters Overall Dissatisfied	Speakers/Presenters Overall Neutral	Speakers/Presenters Overall Satisfied	Speakers/Presenters Overall Very Satisfied
Conference Overall	Conference Overall Very Dissatisfied	Conference Overall Dissatisfied	Conference Overall Neutral	Conference Overall Satisfied	Conference Overall Very Satisfied

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* 5. Please indicate how well you agree with the following statements:

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
The conference was well organized	The conference was well organized Strongly Disagree	The conference was well organized Disagree	The conference was well organized Neutral	The conference was well organized Agree	The conference was well organized Strongly Agree
Conference staff was helpful and courteous	Conference staff was helpful and courteous Strongly Disagree	Conference staff was helpful and courteous Disagree	Conference staff was helpful and courteous Neutral	Conference staff was helpful and courteous Agree	Conference staff was helpful and courteous Strongly Agree
Breakout session content was relevant to me	Breakout session content was relevant to me Strongly Disagree	Breakout session content was relevant to me Disagree	Breakout session content was relevant to me Neutral	Breakout session content was relevant to me Agree	Breakout session content was relevant to me Strongly Agree

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* 6. What did you like most about the conference?

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* 7. What did you like least about the conference?

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* 8. Did you attend any special events?

Autism Society Affiliate Networking Session

Spectrum Social Hour

Teen Sibling Social Hour

Family Reception/Pizza Buffet

Talent Show

Dance

Sibshop

None

Please provide feedback about the event(s) you attended:

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* 9. Did you use the quiet room?

Yes

Was not aware of the quiet room

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* 10. Do you plan to attend this conference again next year?

Yes

Not Sure

Why or Why Not?

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* 11. Suggestions for breakout sessions for future conferences:

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* 12. How did you hear of the conference?

Autism Society Printed Newsletter

Autism Society E-Newsletter

Word of Mouth

Autism Society website

Facebook

Other (please specify)

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* 1. By including your contact information, you will be entered into a drawing for a free 2020 Conference Registration. The drawing will take place after the conclusion of the conference. You do not need to be present to win.

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* 2. Please indicate if you are a:

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* 3. Please rate each of the following:

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* 4. Please rate your satisfaction with the following:

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* 5. Please indicate how well you agree with the following statements:

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* 6. What did you like most about the conference?

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* 7. What did you like least about the conference?

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* 8. Did you attend any special events?

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* 9. Did you use the quiet room?

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* 10. Do you plan to attend this conference again next year?

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* 11. Suggestions for breakout sessions for future conferences:

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* 12. How did you hear of the conference?

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* 13. Comments about the conference overall: