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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 !
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