PULSE ONLINE SURVEY

By completing this questionnaire, you will help us plan programs that will benefit the greatest number of medical assistants in the area.

 Your Name

  Your  E-Mail address

REGULAR MEETINGS (Usually held once a month)

1. Please indicate the day and time that is most convenient for you.

         1st choice      Day       Time

         2nd choice      Day     Time

2. Topics that you would like scheduled for the regular meetings.

3. The learning that I prefer is

Lecture       Seminar       Workshop       Panel Discussion      Demonstration

4. Do you know of anyone who would be a good speaker for a meeting or seminar?

5. Do you know a commercial firm that might have a presentation suitable for a meeting of seminar?

6. How many monthly meetings did you attend out of the last 12?    

7. What do you like or dislike about the meetings?

8. What would you do different?

9. Comments: