The Aging and Disability Resource Center in NYS Webinar Survey

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* 3. Please provide us with your zipcode. This information will be used to track geographic reach of attendees. If you are completing this survey in paper format, please write it within the box below. Otherwise, please select from the drop-down menu.

	ZIP code
ZIP Code	ZIP Code ZIP code menu

Please enter your ZIP code below if in paper format or yours is not listed above (e.g. outside of WNY)

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* 4. Optional Are you interested in receiving email updates from the P² Collaborative? If so, please provide your email address below:

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* 5. How satisfied are you with the following aspects of the NY Connects webinar?

	Very Unsatisfied	Unsatisfied	Neutral	Satisfied	Very Satisfied
Organization of the event	Organization of the event Very Unsatisfied	Organization of the event Unsatisfied	Organization of the event Neutral	Organization of the event Satisfied	Organization of the event Very Satisfied
Usefulness of the event	Usefulness of the event Very Unsatisfied	Usefulness of the event Unsatisfied	Usefulness of the event Neutral	Usefulness of the event Satisfied	Usefulness of the event Very Satisfied
Date and time of event	Date and time of event Very Unsatisfied	Date and time of event Unsatisfied	Date and time of event Neutral	Date and time of event Satisfied	Date and time of event Very Satisfied
Length of the event	Length of the event Very Unsatisfied	Length of the event Unsatisfied	Length of the event Neutral	Length of the event Satisfied	Length of the event Very Satisfied
Opportunity to network	Opportunity to network Very Unsatisfied	Opportunity to network Unsatisfied	Opportunity to network Neutral	Opportunity to network Satisfied	Opportunity to network Very Satisfied

Comments:

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* 6. How satisfied are you with the speaker, Dana Corwin?

	Very Unsatisfied	Unsatisfied	Neutral	Satisfied	Very Satisfied
Engagement of the speaker	Engagement of the speaker Very Unsatisfied	Engagement of the speaker Unsatisfied	Engagement of the speaker Neutral	Engagement of the speaker Satisfied	Engagement of the speaker Very Satisfied
Knowledge of the speaker	Knowledge of the speaker Very Unsatisfied	Knowledge of the speaker Unsatisfied	Knowledge of the speaker Neutral	Knowledge of the speaker Satisfied	Knowledge of the speaker Very Satisfied
Overall	Overall Very Unsatisfied	Overall Unsatisfied	Overall Neutral	Overall Satisfied	Overall Very Satisfied

Comments:

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* 7. How satisfied are you with the speaker, Randy Hoak?

	Very Unsatisfied	Unsatisfied	Neutral	Satisfied	Very Satisfied
Engagement of the speaker	Engagement of the speaker Very Unsatisfied	Engagement of the speaker Unsatisfied	Engagement of the speaker Neutral	Engagement of the speaker Satisfied	Engagement of the speaker Very Satisfied
Knowledge of the speaker	Knowledge of the speaker Very Unsatisfied	Knowledge of the speaker Unsatisfied	Knowledge of the speaker Neutral	Knowledge of the speaker Satisfied	Knowledge of the speaker Very Satisfied
Overall	Overall Very Unsatisfied	Overall Unsatisfied	Overall Neutral	Overall Satisfied	Overall Very Satisfied

Comments:

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* 8. Overall, how would you rate your satisfaction with the NY Connects webinar?

	Very unsatisfied	Unsatisfied	Neutral	Satisfied	Very Satisfied
Overall Satisfaction	Overall Satisfaction Very unsatisfied	Overall Satisfaction Unsatisfied	Overall Satisfaction Neutral	Overall Satisfaction Satisfied	Overall Satisfaction Very Satisfied

Comments:

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* 9. How likely are you to recommend attending the next PHIP webinar to a friend or colleague?

	Very unlikely	Somewhat unlikely	Neutral	Somewhat likely	Very likely
Recommendation	Recommendation Very unlikely	Recommendation Somewhat unlikely	Recommendation Neutral	Recommendation Somewhat likely	Recommendation Very likely

Comments:

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* 10. Do you have suggestions for a speaker or a topic for an upcoming training or event?

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* 11. How did you hear about the PHIP webinar? Check all that apply.

Email communication from P² Collaborative

Newspaper article

P² Collaborative website

P² Collaborative social media

Friend or colleague

Eventbrite

Other (please specify)

P² Collaborative strives to provide relevant and informative health-related topics to the Western New York community. Your support could allow us to do so much more. Consider becoming a P² member today! Visit www.p2wny.org or contact info@p2wny.org for more information.

The Aging and Disability Resource Center in NYS Webinar

April 28, 2016- PHIP Webinar

Question Title

* 1. What did you enjoy about the NY Connects webinar?

Question Title

* 2. What didn't you enjoy about the NY Connects webinar?

Question Title

* 3. Please provide us with your zipcode. This information will be used to track geographic reach of attendees. If you are completing this survey in paper format, please write it within the box below. Otherwise, please select from the drop-down menu.

Question Title

* 4. Optional Are you interested in receiving email updates from the P² Collaborative? If so, please provide your email address below:

Question Title

* 5. How satisfied are you with the following aspects of the NY Connects webinar?

Question Title

* 6. How satisfied are you with the speaker, Dana Corwin?

Question Title

* 7. How satisfied are you with the speaker, Randy Hoak?

Question Title

* 8. Overall, how would you rate your satisfaction with the NY Connects webinar?

Question Title

* 9. How likely are you to recommend attending the next PHIP webinar to a friend or colleague?

Question Title

* 10. Do you have suggestions for a speaker or a topic for an upcoming training or event?

Question Title

* 11. How did you hear about the PHIP webinar? Check all that apply.

Question Title

* 1. What did you enjoy about the NY Connects webinar?

Question Title

* 2. What didn't you enjoy about the NY Connects webinar?

Question Title

* 3. Please provide us with your zipcode. This information will be used to track geographic reach of attendees. If you are completing this survey in paper format, please write it within the box below. Otherwise, please select from the drop-down menu.

Question Title

* 4. *Optional* Are you interested in receiving email updates from the P² Collaborative? If so, please provide your email address below:

Question Title

* 5. How satisfied are you with the following aspects of the NY Connects webinar?

Question Title

* 6. How satisfied are you with the speaker, Dana Corwin?

Question Title

* 7. How satisfied are you with the speaker, Randy Hoak?

Question Title

* 8. Overall, how would you rate your satisfaction with the NY Connects webinar?

Question Title

* 9. How likely are you to recommend attending the next PHIP webinar to a friend or colleague?

Question Title

* 10. Do you have suggestions for a speaker or a topic for an upcoming training or event?

Question Title

* 11. How did you hear about the PHIP webinar? Check all that apply.

* 4. Optional Are you interested in receiving email updates from the P² Collaborative? If so, please provide your email address below: