Please take a moment to answer this short survey and give us your thoughts so that we can continue to improve SCW MANIA®!
***You will be directed to your CEC form at the end of the evaluation.***

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1. Please provide your personal EMAIL ADDRESS, which will be kept CONFIDENTIAL, to validate your MANIA® attendance. (Required.)

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2. Please provide your PERSONAL CELL PHONE, which will be kept CONFIDENTIAL, to validate your MANIA® attendance. Please use only numbers (no hyphens or spaces) (Required.)

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3. Your attendance at the conference included the following (select all that apply) (Required.)

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4. What is the likelihood you would RECOMMEND THIS EVENT to a friend/colleague? (Required.)

0 = NOT AT ALL Likely 5 10 = EXTREMELY Likely
Clear
i We adjusted the number you entered based on the slider’s scale.

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5. Can you tell us THE REASON for this score?

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6. What is the likelihood you would ATTEND A MANIA® CONFERENCE AGAIN? (Required.)

0 = NOT AT ALL Likely 5 10 = EXTREMELY Likely
Clear
i We adjusted the number you entered based on the slider’s scale.

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7. Have you PREVIOUSLY ATTENDED an SCW EVENT? (Please check all that apply) (Required.)

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8. How did you HEAR ABOUT this event? (Please check all that apply) (Required.)

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9. Did you receive a mailed MANIA brochure?

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10. If you answered yes to the above question, how many brochures did you receive?

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11. WHY DID YOU ATTEND this event? (Please check all that apply) (Required.)

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12. Gender:

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13. Age:

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14. Race:

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15. Please check your FAVORITE component(s) of the event. (Please check all that apply) (Required.)

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16. Please check your LEAST FAVORITE component(s) of the event. (Please check all that apply) (Required.)

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17. Which TOPICS interest you most? (Please check all that apply) (Required.)

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18. Who was your FAVORITE presenter and why? (Please check all that apply) (Required.)

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19. Who was your LEAST FAVORITE presenter and why? (Please check all that apply) (Required.)

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20. Please rate the REGISTRATION PROCESS for the event. (Required.)

0 = Poor 5 10 = Excellent
Clear
i We adjusted the number you entered based on the slider’s scale.

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21. Please rate the COMMUNICATION FROM SCW prior to the event. (Required.)

0 = Poor 5 10 = Excellent
Clear
i We adjusted the number you entered based on the slider’s scale.

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22. Can you tell us THE REASON for this score?

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23. If you have CONTACTED SCW WITH QUESTIONS regarding this event, please INDICATE HOW below. (Please check all that apply) (Required.)

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24. If applicable, please RATE YOUR CUSTOMER SERVICE EXPERIENCE. (Required.)

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25. What is your CURRENT POSITION? (Please check all that apply) (Required.)

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26. What TYPE OF FACILITY do you work at? (Please check all that apply) (Required.)

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27. Which of the following CERTIFICATIONS do you hold? (Please check all that apply) (Required.)

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28. How did you get to MANIA? (Required.)

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29. If you drove, how long was your trip?

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30. Where did you STAY WHILE AT MANIA®?

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31. Please share any & all comments & suggestions:

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