Question Title

* 1.

Name:

Question Title

* 2.

Email:

Question Title

* 3.

Designation:

Question Title

* 4. Please indicate your specialties:

Question Title

* 5. Please select the category you most identify with:

Question Title

* 6. Please select your post-training work experience:

Question Title

* 7. Select your primary workplace:

Question Title

* 8.

I see a need for educational programs pertaining to:

Question Title

* 9.

Please evaluate the statement below based on your experience

  Strongly Agree Agree Neutral Disagree Strongly Disagree
FOCIS 2017 content will impact my practice/profession
The presence of the exhibit hall was beneficial to my experience
I was satisfied with the amount of clinically relevant material
Cost is an important factor when attending a meeting

Question Title

* 10. Outside of the Scientific Program, what are you most interested in at a FOCIS meeting?

Question Title

* 11. Would You Like to Receive a Certificate of Attendance?

Question Title

* 12. The cost of the FOCIS meeting and related travel is:

Question Title

* 13. My attendance at the FOCIS meeting is based on (please rank)

  Most important Least important
Registration cost
Travel cost
Desirability of location
Time of year
Program content

Question Title

* 14. I am most likely to attend a FOCIS meeting held:

Question Title

* 15. Approximately how many scientific meetings do you attend annually?

Question Title

* 16. What unique value does the FOCIS meeting provide to you?

Question Title

* 17.

General Comments:

T