Conference Feedback and Evaluation Questionnaire -

Thank you for taking the time to participate in this conference evaluation. Your comments will enable us to better plan and execute future conferences and tailor them to meet your needs.

Sincerely,

Royce Ann Adkins

Executive Director

How did you hear or learn about this conference?

Poster

Flyer

Ad in Newspaper Name ______________________________

Pharma Sales Rep Name______________________________

Radio

Billboard

Newsletter

Television

Other

Was day of week and time of this conference convenient for you? Yes No

If not, please specify day of week and time that would best fit your schedule:

Other

Which topic most interested you?

Advances in Diabetes Care

Computer Based Technology in Healthcare

Evolving Future in Insulin Pumps and Meters

Continuous Glucose Monitoring

Remote Technology in Facilitating the Care of Diabetes

Evolving Future of Pancreatic Transplants

Did the conference fulfill your reason for attending?

Yes -- Absolutely

Yes -- But not to my full extent

No

What was the most beneficial aspect of the conference?

Would you recommend this conference to others?

Yes

Maybe

No

Please indicate your overall satisfaction with this conference

How many external conferences/seminars do you attend, on average, in a year?

Which of the following topics would you be interested in attending a conference on?

If you know of any colleagues who might be interested in any of these conferences, please provide your colleague's name and company.

What other topics or themes are of interest to you for a conference?

Name

Title

Company

Email Address

Additional Comments

Thank you for taking the time to participate in this evaluation.