Seminar Survey Form

	Complete the form below and submit to Partners in Business. Questions can be answered by calling (435) 797-2279 or toll-free (800) 472-9965.
	This form is not for seminar registration. Please Complete The Following:*

Please indicate which seminar you attended

Please comment on
the strong and weak points
of the seminar

Do you have any
suggestions for future
seminar speakers and/or topics?

Would you be interested in attending a focus group for next year's seminar?
Yes No

If yes, please fill out the following form:

Name:

Title:

Company Name:

Address:

City:

State: ZIP:

Phone:

Fax:

E-mail: