Survey Questions

"Thank you for taking the time to help in our quest to continually improve your speaker series. Your feedback is critical to our success. Rest assured, the board of directors and staff of Desert Town Hall pays close attention to all the comments and suggestions we receive."

President
Brian S. Harnik - Roemer & Harnik LLP

Did you attend the Newt Gingrich program?

: Yes
: No

What type of ticket did you buy?

: Unreserved
: Reserved
: Reserved with Dinner

Please rate your satisfaction with the speaker's presentation:

: Very Satisfied
: Moderately Satisfied
: Dissatisfied

Please offer comments on the speaker's presentation:

Please rate your level of satisfaction with the overall experience:

: Very Satisfied
: Moderately Satisfied
: Dissatisfied

Please offer comments on your overall experience:

What speaker(s) would you like to see next year?

Do you have an interest in a sponsorship for next year?
(Several levels of support are available.)

: Yes
: No

If desired, please leave your contact information so that we may reach you to address your concerns. Or, feel free to give us a call at any time.

First Name:
Last Name:
Phone number:
Email address:

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Desert Town Hall is produced by Desert Forum, Inc., a nonprofit 501(c)(3) educational corporation.