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American Burn Association
2013 National Leadership Conference
Evaulation Form

Thank you for your attendance at the 2013 National Leadership Conference. Please take a moment to complete the questionnaire. Your input will help improve future conferences.

Question Title

* Please indicate the length of time you have served in burn care:

Less than 2 years

2-4 years

5-7 years

8-10 years

10-15 years

15-20

Greater than 20 years

I do not work in burn care

Question Title

* Title

PhD

LPN

MSW

Other

Other (please specify)

Question Title

* Are you a member of the ABA?

Yes

Question Title

* If you answered yes to question 3, please enter how long you have been an ABA Member.

I'm a new member

Less than 2 years

2-5 years

5-10 years

More than 10 years

Question Title

* How many times have you previously attended the NLC?

This was my first time attending the NLC

1-2

3-5

Greater than 5

Question Title

* Please enter the state(s) in which you take care of burns:

Question Title

* Is your hospital an IAC member?

Yes

I Don't Know

Question Title

* Please enter the number of burn beds in your burn unit:

Less than 5

5-9

10-14

15-20

Greater than 20

I Don't Know