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Endangered Species Survey
1.
Please fill out your information below:
Name:
Organization:
ZIP:
Email Address:
Phone Number:
*
2.
What age group are you in?
(Required.)
Under 18
18-24
25-34
35-44
45-54
55-64
65-74
75-84
Over 85
*
3.
How did you hear about the Endangered Species conference?
(Required.)
NCJW/LA
NWPC LA Westside
City of West Hollywood
California List
Emily's List
LOFT
Feminist Majority Foundation
Close the Gap CA
Emerge CA
Stand With Sandra List
Other (please specify)
Other (please specify)
*
4.
How would you rate your overall experience at the conference?
(Required.)
Excellent
Very Good
Good
Fair
Poor
Comments
*
5.
How would you rate the first panel: Women as Political Leaders?
(Required.)
Excellent
Very Good
Good
Fair
Poor
Did Not Attend
Comments
*
6.
How would you rate the second panel: Building the Pipeline?
(Required.)
Excellent
Very Good
Good
Fair
Poor
Did Not Attend
Comments
*
7.
How would you rate the third panel: Let's Talk Obstacles?
(Required.)
Excellent
Very Good
Good
Fair
Poor
Did Not Attend
Comments
*
8.
How would you rate Looking Ahead, the discussion on what we can do next about this issue?
(Required.)
Excellent
Very Good
Good
Fair
Poor
Did Not Attend
Comments
9.
What is the most useful information you gained from the conference?
*
10.
Do you plan on joining one of the committees we created at the end of the conference? (You do not need to have attended the closing session in order to join a committee.)
(Required.)
Yes
No
11.
If you do plan on joining a committee, which committee(s) would you like to join?
Donor Engagement
Media Engagement (e.g. op eds, letters to editor)
Succession Conversations/Establishment Changes (E.G. Political Parties)
Public and Voter Education
Volunteering for Campaigns
Recruiting and Training Women to Run
12.
Please give us any positive testimonials or constructive feedback you have about the conference (this helps us improve our program for our participants):