* 1. Please supply your information:

* 2. Will you be attending the 2018 Women's Health, Gender, and Empowerment Center of Expertise Retreat from Jan 11-12 in Menlo Park, CA? (If no, please skip to the end and hit done.)

* 3. Which days do you plan to attend? (tick all that apply)

* 4. Do you plan to stay at the retreat center overnight? (Lodging is available in single-occupancy bedrooms) Tick all that apply

* 5. Will you be traveling from outside of the Bay Area or commuting locally?

* 6. Dinner will be served on Wednesday and Thursday. Breakfast will be served from on Thursday and Friday. Lunch will be served on Thursday and Friday. Please indicate whether you plan on joining us for the meals. (tick all that apply)

  Wed Jan 10 Thu Jan 11 Fri Jan 12
Breakfast (8-9AM)
Lunch (12-1PM)
Dinner (6-7PM)

* 7. Do you have any special dietary restrictions or other needs? Please specify. 

* 8. Please tick how important you find the activities listed below.

  Important Moderately important Not important
Strategic planning for COE's future
Formal presentations of research on WHGE topics
Informal discussion of research on WHGE topics
Women's Health, Gender, and Empowerment best practices
Team building exercises

* 9. Is there anything else you'd like to share with the organizers?