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CIL-NET Webinar – Internal Controls for Centers for Independent Living, September 30, 2015

Satisfaction Survey

1. Date of presentation: *This question is required. This question requires a valid date format of MM/DD/YYYY.

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2. Participant Information:

Name (Optional)

3. Describe Yourself:

4. Highest Level of Education:

5. Years in Field:

6. Years in Current Position:

7. Please rate the following by checking the column of your choice:

Space Cell	Strongly Disagree	Somewhat Disagree	Neutral	Somewhat Agree	Strongly Agree
The presenter(s) had adequate knowledge of the topic.	The presenter(s) had adequate knowledge of the topic.: Strongly Disagree	The presenter(s) had adequate knowledge of the topic.: Somewhat Disagree	The presenter(s) had adequate knowledge of the topic.: Neutral	The presenter(s) had adequate knowledge of the topic.: Somewhat Agree	The presenter(s) had adequate knowledge of the topic.: Strongly Agree
The content was organized to promote learning.	The content was organized to promote learning.: Strongly Disagree	The content was organized to promote learning.: Somewhat Disagree	The content was organized to promote learning.: Neutral	The content was organized to promote learning.: Somewhat Agree	The content was organized to promote learning.: Strongly Agree
I would recommend this to someone else.	I would recommend this to someone else.: Strongly Disagree	I would recommend this to someone else.: Somewhat Disagree	I would recommend this to someone else.: Neutral	I would recommend this to someone else.: Somewhat Agree	I would recommend this to someone else.: Strongly Agree

8. What is the one most important thing you learned in this webinar?

9. Would your center or SILC be interested in free, individualized technical assistance on this or another topic?

10. If you answered "yes" to the question above, please give us your contact information so we can follow up with you.

Your Name
Email Address
Telephone Number

11. Other Comments:

Upon submitting this evaluation, you will be taken to an online form where you can enter your contact information. Submitting that form is your entry to win a $25 Amazon gift card. The winner will be selected in a random drawing from all eligible entries received by 5:00 PM Eastern on October 1st. If you are the winner, you will receive an email notification from ilru@ilru.org or sfinney@ilru.org.