AREA 16 GSSA ASSEMBLY EVALUATION FORM Assembly Month: Instructions: Fill in the form’s fields as needed – you can Tab to each field. Save this file to your PC, and attach it as an email to: [email protected]. You can also print it and fill it out, then scan it to your PC and email it, or fax it to the GSSA office: 478-745-0238.

I am a: DCM GSR Group Officer District Chair Area Chair Member at Large How long have you been attending assemblies? This is my first Assembly 1-2 years 2-5 years 5-10 years 10-20 years 20+ years

Check the box for the Assembly meetings you attended, rate them as to how informative or useful they were to you, and add any comments you may have. Thank you.

SATURDAY: 9:00 am Delegates Meeting with Area Chairs or Assembly 101 Rating: 1 Poor 2 Fair 3 Average 4 Good 5 Excellent Comments:

10:00 am Web Committee Rating: 1 Poor 2 Fair 3 Average 4 Good 5 Excellent Comments:

11:00 am Archives Communications Convention Committee Corrections Grapevine PI/CPC Secretary/treasurer Treatment Rating: 1 Poor 2 Fair 3 Average 4 Good 5 Excellent Comments:

1:00 pm GSR 101 or DCM Meeting Rating: 1 Poor 2 Fair 3 Average 4 Good 5 Excellent Comments:

3:00–5:00 pm GSR Workshop Rating: 1 Poor 2 Fair 3 Average 4 Good 5 Excellent Comments:

9:30 pm Archives Communications Corrections Grapevine PI/CPC Treatment Intergroup/Central Office Rating: 1 Poor 2 Fair 3 Average 4 Good 5 Excellent Comments:

SUNDAY: 9:00 am Area 16 Business Meeting Rating 1 Poor 2 Fair 3 Average 4 Good 5 Excellent Comments: ______Do you have any feedback about the Marriot or Centreplex you would like the Office committee to know? Comments: G.S.S.A. State Office & Pre-Paid Convention | P.O. Box 7325 Macon, GA 31209 | Phone: 478-745-2588 |Fax: 478-745-0238 Email: [email protected] Office hours: 9 a.m. - 5 p.m. Monday-Thursday and 9 a.m. - 1 p.m. Friday