2012 Educational Session on Sunday at 1:30PM - California Perspective on Health Care Reform

Question Title

* For every completed survey, NACS will make a $2 donation to the Convenience Store Foundation for Education and Research. Also, don’t miss a chance to win one of 10 Starbucks gift cards (to be picked up at the NACS Booth within 24 hours of email notification).

First and Last Name

Company

Email Address

Question Title

* You are rating California Perspective on Health Care Reform
featuring Dan Maniaci from Maniaci Insurance Services Inc.

How likely are you to recommend this session to a friend or a colleague?
0 = Not at all likely
10 = Extremely likely

	0	1	2	3	4	5	6	7	8	9	10
Likely to recommend?	Likely to recommend? 0	Likely to recommend? 1	Likely to recommend? 2	Likely to recommend? 3	Likely to recommend? 4	Likely to recommend? 5	Likely to recommend? 6	Likely to recommend? 7	Likely to recommend? 8	Likely to recommend? 9	Likely to recommend? 10

Question Title

* How likely are you to implement what you learned/gained at this session?
0 = Not at all likely
10 = Extremely likely

	0	1	2	3	4	5	6	7	8	9	10
Likely to Implement?	Likely to Implement? 0	Likely to Implement? 1	Likely to Implement? 2	Likely to Implement? 3	Likely to Implement? 4	Likely to Implement? 5	Likely to Implement? 6	Likely to Implement? 7	Likely to Implement? 8	Likely to Implement? 9	Likely to Implement? 10

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* What did you find MOST valuable about this session?

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* What did you find LEAST valuable about this session?

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* Please check all that apply:

This session was too long.

This session was too short.

This session was one of the best.

This session was one of the worst.

This session was just right.

Tell us why below.

Thank you for your feedback! Upon completion of the survey, you will be redirected to the pdf versions of the presentations.

* Winners, Starbucks gift cards must be redeemed in person at the NACS Booth within 24 hours of email notification. Please bring your ID.

Question Title

* For every completed survey, NACS will make a $2 donation to the Convenience Store Foundation for Education and Research. Also, don’t miss a chance to win one of 10 Starbucks gift cards (to be picked up at the NACS Booth within 24 hours of email notification).

Question Title

* You are rating California Perspective on Health Care Reform featuring Dan Maniaci from Maniaci Insurance Services Inc.How likely are you to recommend this session to a friend or a colleague?0 = Not at all likely10 = Extremely likely

Question Title

* How likely are you to implement what you learned/gained at this session?0 = Not at all likely10 = Extremely likely

Question Title

* What did you find MOST valuable about this session?

Question Title

* What did you find LEAST valuable about this session?

Question Title

* Please check all that apply:

* You are rating California Perspective on Health Care Reform
featuring Dan Maniaci from Maniaci Insurance Services Inc.

How likely are you to recommend this session to a friend or a colleague?
0 = Not at all likely
10 = Extremely likely

* How likely are you to implement what you learned/gained at this session?
0 = Not at all likely
10 = Extremely likely