First Name
Last Name
Institution (if applicable)
How satisfied were you with the event?
1-Very dissatisfied 2-Dissatisfied 3-Neutral 4-Satisfied 5-Very Satisfied
Did the event meet your expectations?
Yes or No
What could we improve upon?
(Open ended fill in the blank question)
How likely would you be to attend our events in the future?
1-Very unlikely 2-Unlikely 3-Neutral 4-Likely 5-Very Likely
Why did you attend this event?
(Open ended fill in the blank question)
How did you learn about this event?
(Open ended fill in the blank question)
Have you attended this event before?
Yes or No
Would you attend this event in the future?
Yes or no
How satisfied were you with the quality of the content at the event?
1-Very dissatisfied 2-Dissatisfied 3-Neutral 4-Satisfied 5-Very Satisfied
How satisfied were you with the amount of activities/workshops/breakouts/sessions?
1-Very dissatisfied 2-Dissatisfied 3-Neutral 4-Satisfied 5-Very Satisfied
Please share any additional comments, thoughts, or suggestions for future events.
(Open ended fill in the blank question)
What did you like most about the event?
(Open ended fill in the blank question)
What did you like the least about the event?
(Open ended fill in the blank question)
How satisfied were you with the date and time of the event?
1-Very dissatisfied 2-Dissatisfied 3-Neutral 4-Satisfied 5-Very Satisfied
How satisfied were you with the event’s location?
1-Very dissatisfied 2-Dissatisfied 3-Neutral 4-Satisfied 5-Very Satisfied
How satisfied were you with the food?
1-Very dissatisfied 2-Dissatisfied 3-Neutral 4-Satisfied 5-Very Satisfied
How satisfied were you with the programming?
1-Very dissatisfied 2-Dissatisfied 3-Neutral 4-Satisfied 5-Very Satisfied
How satisfied were you with the keynote address?
1-Very dissatisfied 2-Dissatisfied 3-Neutral 4-Satisfied 5-Very Satisfied
How satisfied were you with social activities?
1-Very dissatisfied 2-Dissatisfied 3-Neutral 4-Satisfied 5-Very Satisfied
How satisfied were you with the cost?
1-Very dissatisfied 2-Dissatisfied 3-Neutral 4-Satisfied 5-Very Satisfied
Was the event length just right, too long or too short?
Just right Too long Too short