Seminar Evaluation

How did you hear about the seminar?*

Was today’s seminar informative?*

Did the doctor(s) explain everything to your satisfaction?*

Did you find the accommodations (chairs, room temp, etc) comfortable?*

Would you consider seeing the doctor(s) for an appointment?*

Was having opportunity to speak to the doctor(s) important to you?*

Would you like to be added to our email list?*

If you are unable to schedule an appointment tonight, would you like to be contacted to schedule a consultation?*

Please list in order of importance (1=most important, 5=least important) the five most important factors when choosing a fertility specialist:

Reputation

Price/cost

What part of city is most convenient for you?*

Are there any ways we can improve our seminar?

Name*

First Last

Email*

Phone*