Complementary and Alternative Medicine

Name of Event Event Date

Feedback Form

Thank you for your willingness to complete this evaluation form. Please complete the form and return it to (name) at (email address or location).

1. How did you find out about this event (check all that apply)? ____ email invitation ____ UVa website ____ Curry website ____ Newspaper ____ Radio ____ invitation through the mail

2. Overall Conference Evaluation: Please tell us what you thought of the conference by placing a check in the box that best describes your opinion about each aspect of it. Excellent Good Fair Poor Overall Conference Rating Conference venue Food Room set up Networking opportunities Guest Speakers - Overall (name of guest speaker) (name of guest speaker) The conference provided new information The conference met it’s objectives I would recommend this conference to others

Overall comments on above topics: ______

______

Did you attend the reception (or poster session, or other)? ____ yes ____ no If so, how helpful was it? Excellent ____ Good ____ Fair _____ Poor ____

Comments/how was it helpful and how could it be improved: ______

3. What did you like most about the activities you attended?

______

4. What could have been improved?

5. Name (optional)