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Your Feedback Means the World to Us!
How was it? We want to know. This quick survey takes about 2 minutes and helps us make the summit better every year. And you share your email, you're entered to win a $50 Amazon gift card!
14
Questions
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1
Name
First Name
Last Name
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2
Email
Share your email to be entered to win a $50 Amazon Gift Card!
example@example.com
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3
What is your profession?
*
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Please Select
SLP
OT
PT
OMD
BCBA
Other
Please Select
SLP
OT
PT
OMD
BCBA
Other
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4
Where are you in private practice?
Please Select
Just thinking about it
1-3 years in business
4+ years in business
Please Select
Just thinking about it
1-3 years in business
4+ years in business
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5
Please rate your overall summit experience:
*
This field is required.
1 is low, 5 is high
1
2
3
4
5
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6
Rate the overall quality of the speaker's content:
*
This field is required.
1 is low, 5 is high
1
2
3
4
5
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7
How actionable was the advice you heard?
*
This field is required.
1 is low, 5 is high
1
2
3
4
5
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8
How many sessions did you watch?
*
This field is required.
1-5
6-10
11-15
16-20
21-24
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9
How did you access the summit?
*
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Free ticket
All Access Pass
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10
Would you attend again next year?
Definitely
Probably
Not sure
No
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11
What was your biggest takeaway from the summit?
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12
If you were telling a friend in private practice why they should attend next year, what would you say?
What did you learn, what did you do differently, or what changed for you?
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13
Is there a topic or type of speaker you felt was missing?
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14
May we use your feedback/responses as a testimonial?
*
This field is required.
Yes, anonymously
Yes, with my first name only
Yes, with my full name
No
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