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1. Please rate your overall satisfaction level with [Organization Name]?
2. Please explain your reason(s) for the overall satisfaction rating:
3. How many of our events have you attended in the past 12 months?
4. Which of the following events have you attended in the last 12 months? Please select all that apply
5. Please provide feedback on any of the previous events you attended:
6. How far in advance of an event would you prefer to receive information?
7. Where is your preferred location for events?
8. Have you participated on one of our committees?
9. What topic(s) would you suggest we form a committee to address?
10. How long have you been a member of [Organization Name]?
11. What is your gender?
12. Which of the following includes your age?
13. How satisfied are you with the current means of communications?
  Very SatisfiedSomewhat SatisfiedNeutralSomewhat DissatisfiedVery Dissatisfied
14. What is your preferred method of communication from [Organization Name]?
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