2026 Epilepsy Innovation Conference (On Demand) Evaluation Survey

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* 1. What is your connection - either personally or professionally- to epilepsy or the epilepsy community?

Person with epilepsy

Parent of person with epilepsy

Family member of a person with epilepsy

Friend of person with epilepsy

Person with PNES (Functional Seizures)

Family member of person with PNES (Functional Seizures)

Family member of deceased person with epilepsy

Interested person

Healthcare professional

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* 2. What is the zip code in which you reside?

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* 3. Please choose which describes you.

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 4. Please indicate the extent to which you agree or disagree with the following statements (leave blank if not applicable):

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
The conference provided practical information that I plan to use to better manage epilepsy or related issues.	The conference provided practical information that I plan to use to better manage epilepsy or related issues. Strongly Agree	The conference provided practical information that I plan to use to better manage epilepsy or related issues. Agree	The conference provided practical information that I plan to use to better manage epilepsy or related issues. Neutral	The conference provided practical information that I plan to use to better manage epilepsy or related issues. Disagree	The conference provided practical information that I plan to use to better manage epilepsy or related issues. Strongly Disagree
This conference provided inspiration, encouragement, or hope.	This conference provided inspiration, encouragement, or hope. Strongly Agree	This conference provided inspiration, encouragement, or hope. Agree	This conference provided inspiration, encouragement, or hope. Neutral	This conference provided inspiration, encouragement, or hope. Disagree	This conference provided inspiration, encouragement, or hope. Strongly Disagree
As a result of attending the conference, I intend to make at least one positive change in my behavior to promote improved health.	As a result of attending the conference, I intend to make at least one positive change in my behavior to promote improved health. Strongly Agree	As a result of attending the conference, I intend to make at least one positive change in my behavior to promote improved health. Agree	As a result of attending the conference, I intend to make at least one positive change in my behavior to promote improved health. Neutral	As a result of attending the conference, I intend to make at least one positive change in my behavior to promote improved health. Disagree	As a result of attending the conference, I intend to make at least one positive change in my behavior to promote improved health. Strongly Disagree

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* 5. Please rate the following conference sessions / speakers:

	Excellent	Good	Average	Below Average	Poor
Smarter Tools, Better Care: Innovations In Epilepsy Technology	Smarter Tools, Better Care: Innovations In Epilepsy Technology Excellent	Smarter Tools, Better Care: Innovations In Epilepsy Technology Good	Smarter Tools, Better Care: Innovations In Epilepsy Technology Average	Smarter Tools, Better Care: Innovations In Epilepsy Technology Below Average	Smarter Tools, Better Care: Innovations In Epilepsy Technology Poor
Evan Tank, MD	Evan Tank, MD Excellent	Evan Tank, MD Good	Evan Tank, MD Average	Evan Tank, MD Below Average	Evan Tank, MD Poor
Innovative Approaches to Supporting Independence	Innovative Approaches to Supporting Independence Excellent	Innovative Approaches to Supporting Independence Good	Innovative Approaches to Supporting Independence Average	Innovative Approaches to Supporting Independence Below Average	Innovative Approaches to Supporting Independence Poor
Laine Richards - Epilepsy Community Advocate and Young Adult Living with Epilepsy	Laine Richards - Epilepsy Community Advocate and Young Adult Living with Epilepsy Excellent	Laine Richards - Epilepsy Community Advocate and Young Adult Living with Epilepsy Good	Laine Richards - Epilepsy Community Advocate and Young Adult Living with Epilepsy Average	Laine Richards - Epilepsy Community Advocate and Young Adult Living with Epilepsy Below Average	Laine Richards - Epilepsy Community Advocate and Young Adult Living with Epilepsy Poor
Jess Ronne - Founder & CEO of The Lucas Project and Co-Owner of Hope Farm, LLC	Jess Ronne - Founder & CEO of The Lucas Project and Co-Owner of Hope Farm, LLC Excellent	Jess Ronne - Founder & CEO of The Lucas Project and Co-Owner of Hope Farm, LLC Good	Jess Ronne - Founder & CEO of The Lucas Project and Co-Owner of Hope Farm, LLC Average	Jess Ronne - Founder & CEO of The Lucas Project and Co-Owner of Hope Farm, LLC Below Average	Jess Ronne - Founder & CEO of The Lucas Project and Co-Owner of Hope Farm, LLC Poor
Judi Siegert - Home Accessibility Services Manager; Disability Advocates of Kent County	Judi Siegert - Home Accessibility Services Manager; Disability Advocates of Kent County Excellent	Judi Siegert - Home Accessibility Services Manager; Disability Advocates of Kent County Good	Judi Siegert - Home Accessibility Services Manager; Disability Advocates of Kent County Average	Judi Siegert - Home Accessibility Services Manager; Disability Advocates of Kent County Below Average	Judi Siegert - Home Accessibility Services Manager; Disability Advocates of Kent County Poor
Nicholette Driggs, FLE, CAPS, DIAD - Absolutely Accessible Kent Business Development Coordinator; Disability Advocates of Kent County	Nicholette Driggs, FLE, CAPS, DIAD - Absolutely Accessible Kent Business Development Coordinator; Disability Advocates of Kent County Excellent	Nicholette Driggs, FLE, CAPS, DIAD - Absolutely Accessible Kent Business Development Coordinator; Disability Advocates of Kent County Good	Nicholette Driggs, FLE, CAPS, DIAD - Absolutely Accessible Kent Business Development Coordinator; Disability Advocates of Kent County Average	Nicholette Driggs, FLE, CAPS, DIAD - Absolutely Accessible Kent Business Development Coordinator; Disability Advocates of Kent County Below Average	Nicholette Driggs, FLE, CAPS, DIAD - Absolutely Accessible Kent Business Development Coordinator; Disability Advocates of Kent County Poor
AI, Advocacy, and Medication Safety: Bridging the Data Divide	AI, Advocacy, and Medication Safety: Bridging the Data Divide Excellent	AI, Advocacy, and Medication Safety: Bridging the Data Divide Good	AI, Advocacy, and Medication Safety: Bridging the Data Divide Average	AI, Advocacy, and Medication Safety: Bridging the Data Divide Below Average	AI, Advocacy, and Medication Safety: Bridging the Data Divide Poor
Shannon Biergans - Board Certified Family Nurse Practitioner and Patient Advocate and Founder of Advocate, LLC	Shannon Biergans - Board Certified Family Nurse Practitioner and Patient Advocate and Founder of Advocate, LLC Excellent	Shannon Biergans - Board Certified Family Nurse Practitioner and Patient Advocate and Founder of Advocate, LLC Good	Shannon Biergans - Board Certified Family Nurse Practitioner and Patient Advocate and Founder of Advocate, LLC Average	Shannon Biergans - Board Certified Family Nurse Practitioner and Patient Advocate and Founder of Advocate, LLC Below Average	Shannon Biergans - Board Certified Family Nurse Practitioner and Patient Advocate and Founder of Advocate, LLC Poor
Kevin Biergans - Graduate student at the University of Notre Dame; Director of Growth for Advocate, LLC; Consultant with Leap of Faith Technologies ThereaCareAI project	Kevin Biergans - Graduate student at the University of Notre Dame; Director of Growth for Advocate, LLC; Consultant with Leap of Faith Technologies ThereaCareAI project Excellent	Kevin Biergans - Graduate student at the University of Notre Dame; Director of Growth for Advocate, LLC; Consultant with Leap of Faith Technologies ThereaCareAI project Good	Kevin Biergans - Graduate student at the University of Notre Dame; Director of Growth for Advocate, LLC; Consultant with Leap of Faith Technologies ThereaCareAI project Average	Kevin Biergans - Graduate student at the University of Notre Dame; Director of Growth for Advocate, LLC; Consultant with Leap of Faith Technologies ThereaCareAI project Below Average	Kevin Biergans - Graduate student at the University of Notre Dame; Director of Growth for Advocate, LLC; Consultant with Leap of Faith Technologies ThereaCareAI project Poor

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* 6. Overall, how would you rate the Epilepsy Innovation Conference?

Excellent

Good

Average

Below Average

Poor

Comments:

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* 7. Please rate the selection of topics

Excellent

Good

Average

Below Average

Poor

Comments:

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* 8. What format would best support your participation in our future West Michigan events? ( Select all that apply and feel free to elaborate in the comment box)

Virtual (online platform works best for me)

In-person in West Michigan (I am willing to travel)

Hybrid (model used in the past for all conferences)

I'm not able to attend due to scheduling/conflict

Other (please specify)

2026 Epilepsy Innovation Conference (On Demand) Evaluation

Question Title

* 1. What is your connection - either personally or professionally- to epilepsy or the epilepsy community?

Question Title

* 2. What is the zip code in which you reside?

Question Title

* 3. Please choose which describes you.

Question Title

* 4. Please indicate the extent to which you agree or disagree with the following statements (leave blank if not applicable):

Question Title

* 5. Please rate the following conference sessions / speakers:

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* 6. Overall, how would you rate the Epilepsy Innovation Conference?

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* 7. Please rate the selection of topics

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* 8. What format would best support your participation in our future West Michigan events? ( Select all that apply and feel free to elaborate in the comment box)

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* 9. Do you have any other comments, questions, or concerns?

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* 10. If you are looking for feedback, please share the following:

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* 11. Email address: