Seminar Survey
Seminar title Spinal Nutritional Learning Disabilities
Date attended Name: Email address: Phone No:
1. Did you find this seminar helpful? Yes No 2.What did you learn? 3..Will this help you as a patient? Yes No 4. How? 5.How could we improve this seminar? 6. Do you think others in our community would benefit from these seminars? Yes No 7. Please list the names of those you know that would have benefitted from this talk and/or chiropractic care. 8. Can we offer them a complimentary examination? Yes No 9.Can we put them on our seminar mailing list? Yes No 10. Can we call them or will you call them concerning this? Yes No 11. Do you know of any group to which we can present a seminar? This can be a church, civic, fraternal club or in your home or at work. 12. Which topics would interest you?
Thank you for taking the time to fill out our survey.
tel 905.640.4440 * email info@drturner.org * www.drturner.org
(updated Nov 15 2011)