CONFERENCE EVALUATION- ATTENDEES SURVEY Your feedback and responses are very important to us. Please complete this form and return it to the registration desk or scan and email to education@onlok.org ABOUT THE SPEAKERS Please rate the overall presentation of the speaker and the topic that you attended by placing an X in the appropriate box. Rating Scale 1=Exceptional, 2=Very Good, 3=Good, 4=Fair, 5=Poor Speaker OPENING STATEMENTS Welcome: Robert Edmondson, CEO, On Lok, Inc. Moderator: Janice B. Schwartz, MD SESSION I: KEYNOTE Speaker: Gordon Lithgow, PhD Topic: Aging as Target in the Prevention of Chronic Disease SESSION II: Speaker: Janice B. Schwartz, MD Topic: Vitamin D – Beyond Bone Speaker: Jennene Buckley Topic: Telehealthcare in Australia – Creating a 21st Century Aged Care Service SESSION III: Speaker: Maria Genné Topic: Choreography of Care™ – Kairos Alive’s Performing Arts Prescription for Wellbeing™ Speaker: T.B.D. Topic: Spirituality and Health SESSION IV: Speaker: Hod Lipson, PhD Topic: 3D Printing – The Promise and Peril of a Machine That Can Make (Almost) Anything 1 2 3 4 5 Did Not Attend OVERALL CONFERENCE Please rate the following items by placing an X in the appropriate box. Rating Scale 1=Exceptional, 2=Very Good, 3=Good, 4=Fair, 5=Poor 1 2 3 4 5 Diversity of Conference Networking Opportunities Length of Conference Sessions Moderator Was Effective Guest Speakers Interaction with Audience Educational Content Topics Relevant to You Exhibitors Information Presented Online Registration and Payment Process Conference Website Email Notices and Reminders Check-in procedure was simple, fast and efficient Venue, Educational Meeting Space Validated and Accessible Parking Food, Break, Lunch Arrangements What did you like most about the conference? ____________________________________________________________________________________ ____________________________________________________________________________________ What one change in the conference would significantly improve the experience for you? ____________________________________________________________________________________ ____________________________________________________________________________ FUTURE CONFERENCES To help us plan for future conferences, please provide 3 specific topic areas/formats you would most like to see addressed. Topic Area Format Please use this space to describe specific content areas that are of interest to you Is there a speaker on a topic you’d like us to consider for future conferences? If so, please provide their name, the topic and the speaker’s contact information below. Speaker Name Topic Area Please use this space to provide the speaker’s contact information (phone, address, email) YOUR BACKGROUND Which best describes your organization? ☐Public ☐ Private, Non-Profit ☐ Private, For Profit ☐ Other: __________________________ What is your role within your organization? ___________________________________________________________ What is the name of your organization? _____________________________________________________________ How did you obtain information on this conference? ☐Online ☐ E-mail ☐Word of Mouth ☐ Conference Website What influenced you to attend this conference? ☐ Speakers ☐ Topics ☐ Networking ☐ Venue ☐ Fee ☐ Other _____________________ ☐ Mailed Brochure ☐ Other____________________ ☐ Continuing Education (CE) Credits ☐ Yes ☐ No Was this your first conference with On Lok? Did more than one representative from your organization attend? How many ____? ☐ Yes ☐ No ☐ Yes ☐ No Were you able to get to UCSF Mission Bay Conference Center easily? How far did you travel to get to the conference? _________ Miles Do you prefer: ☐ Half-day conferences Do you prefer conferences in: ☐ Hotels ☐ Full-day conferences ☐ Multi-day conferences ☐ Conference centers ☐ No preference Do you prefer attending conferences in the: ☐ Fall ☐ Winter ☐ Spring ☐ Summer ☐ No preference Which of the locations would appeal to you for attending future conferences? Check all that apply. ☐ San Francisco ☐ Treasure Island ☐ Peninsula ☐ South Bay ☐ Marin & North Bay ☐ Other: ☐ East Bay CONTINUING EDUCATION Name is required on this evaluation form for CE course credit. Print Name: Signature: Date: THANK YOU FOR COMPLETING THE SURVEY !