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Participants Survey
Seminar Name:
Seminar Date:
Instructor:
Please respond to the following statements by marking the choice that most closely reflects your experience during this seminar.
Based on this seminar, would you recommend ISC to others?
Yes
No
Would you recommend this instructor to other licensees?
Yes
No
Did this seminar meet your expectations?
Yes
No
Strongly
Agree
Agree
Strongly
Disagree
Non
Applicable
Please select your top two reasons for attending this seminar:
First Reason:
(Please Select)
CE Credit
Price
Location
Recommendation
Learn More about Subject Topic
E&O Policy Discount
Instructor’s Reputation
Professional Development
Other
If "Other", please state reason:
Second Reason:
(Please Select)
CE Credit
Price
Location
Recommendation
Learn More about Subject Topic
E&O Policy Discount
Instructor’s Reputation
Professional Development
Other
If "Other", please state reason:
How did you learn about this seminar?
(Please Select)
ISC Course Catalogue
Monthly ISC Education Fax
IBA West Weekly Insider
Magazine Article
Advertising / Kirschner’s Insurance Directory
Instructor Recommendation
IBA West Member Services
ISC Web Site
IBA West Web Site
Other
If "Other", please state:
What seminar topics would you like to see offered to help develop your career?
Please list the seminar topics in the box below:
What is your position?
Position:
(Please Select)
Owner/Principal
Producer
Company Representative
MGA Underwriter
CSR
Other
If "Other", please list your position:
What services do you provide?
Please tick all that apply:
What search engines do you use regularly?
Additonal Comments?
Please enter you additonal comments in the box below:
If you would like a personal response or would like to be added to our monthly fax/e-mail list, please complete the following information:
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Name:
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