Post Conference Survey - NRTRC 2021 - POST CONFERENCE SURVEY

First Name: *

Last Name: *

Email Address: *

Credentials: *

Other: *

Name of Organization: *

State where you work or reside *

Is your organization HRSA Funded? *

YES

Unsure

Is your organization located in a designated Rural Area? *

YES

Unsure

Other: *

What is your level of satisfaction with the format of the conference (increased interaction, limited PowerPoints, etc.) *

1 - Very Unsatisfied

5 - Very Satisfied

On a scale of 1 - 5, please rate the Virtual Telehealth Technology Showcase: *

1 - Very Unsatisfied

5 - Very Satisfied

N/A - I did not attend

Virtual Telehealth Technology Showcase

Did you attend a State/Tribal breakout? *

YES

If yes, which one? *

What is your level of satisfaction overall for the state/tribal breakouts? *

1 - Very Unsatisfied

5 - Very Satisfied

Please explain why you gave the State/Tribal Breakouts the rating you did: *

In your own words, what could be improved for next year's conference? *

What topics could we cover in future conferences that you would like to know more about? *

Do you have suggestions for speakers you would like to hear from at future conferences? *

For a future in-person conference, please check your top 3 choices of locations you would be willing to attend (select only 3) *

Alaska

Idaho

Montana

Oregon

Utah

Washington

Wyoming

Any other comments you wish to share? *