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Program Feedback Form

WID would appreciate any comments you may have about our organization or one of the WID-sponsored events you may have attended. Please take a moment to provide us some feedback.

NOTE: Required fields shown with an *

Program Feedback Information
* Enter the name of the event you attended:
How would you rate the program overall?
What were the most valuable parts of the session? (check all that apply)	Panelist(s)/Speaker(s) Comments Q&A Handouts Networking
What could have been improved?
Please rate the speaker(s):
Please rate the facility/food/service:
Would you be interested in attending a follow-up program on this topic?	Yes No
How did you hear about this session?
What was your reason for attending this program?
Are you a WID member/non-member?	Member Non-member If you are a non-member, would you like to receive membership information? Yes No (If yes, please be sure to complete the contact information below or go to the Join WID section of our site.)
For future programs, would you prefer that content be:
How many WID programs do you attend annually?
How many years have you been employed in development?
How was this program fee paid?
How did you travel to this meeting?
Other Comments:

Contact Information (optional)
First Name:
Last Name:
Title:
Organization:
Street Address: (line 1)
(line 2)
City:
State/Province:	(enter N/A if not applicable)
Zip/Postal Code:	(enter N/A if not applicable)
Home Phone:
Office Phone:
Email:
* Verification Image:	Please type the characters shown in the verification image: