Eyemedica lecture feedback form

Feedback form
Please give us feedback on your overall experience at this lecture
The Event
What was the date of the event?
MonthDayYear
Date
What was the location of the event?
Which session did you attend?
Please select the first session you attended
How did you rate the quality of the lecture?

1 2 3 4 5
1 is Poor, 5 is Great
How did you rate the interaction?

1 2 3 4 5
1 is Poor, 5 is Great
Would you consider attending another lecture?
Would you recommend a similar event to a friend?
General comments
The Venue
Overall, were you satisfied with the venue and were you able to see and hear the presentations clearly?
What did you like about the venue
What did you dislike about the venue
Optional: Contact Details
Your Name
First NameLast Name
E-mail
Phone Number
Area CodePhone Number
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Feedback form