Event Rescheduling Survey Form
Help us select the best new date for our event by sharing your preferences and feedback.
Your Full Name
*
First Name
Last Name
Email Address
*
example@example.com
What was the original event date?
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Were you planning to attend the original event?
*
Yes
No
Not sure
Please select your preferred new date(s) for the rescheduled event:
*
Weekday (Monday–Friday)
Weekend (Saturday or Sunday)
Morning (8am–12pm)
Afternoon (12pm–5pm)
Evening (5pm–9pm)
Other
How likely are you to attend the rescheduled event?
*
Not likely at all
1
2
3
4
Very likely
5
1 is Not likely at all, 5 is Very likely
What is your main reason for needing the event to be rescheduled?
Please Select
Schedule conflict
Travel issues
Health concerns
Personal reasons
Other
Please rate the communication about the event rescheduling process.
*
1
2
3
4
5
In the table below, indicate your availability for each potential new date:
*
Rows
Available
Not Available
Prefer Not
Option 1: March 15, 2026
1
2
3
Option 2: March 22, 2026
4
5
6
Option 3: March 29, 2026
7
8
9
Do you have any suggestions or comments regarding the event rescheduling?
Submit Survey
Should be Empty: