Balancing Research and Practice
Survey Form
Pre-Conference Activities

Please supply the following information to identify yourself: 
 
Name:    (Last)   (First) 

E-mail:         

Organization:   

City:                State:

Please answer each question by selecting one or more of the checkboxes provided or typing in requested information.

Conference information. Have you received enough information about the conference to have a clear idea of what to expect at the meeting? 

	 Yes
	 No
	 No, but I plan to scan the Web site later this week
Components. Which of the conference components do you regard as most likely to be of value? 
	 Online discussions
	 Site visits
	 Breakout sessions
	 Summary session
	 Dinners and informal interactions
Participation in online discussions. How have you been following the online discussions? 
	 Via the conference Web site
	 Via e-mail
	 Via e-mail and the conference Web site
	 Have not had time to participate adequately
Follow-up. What follow-up should there be after the formal conference sessions? 
	 Continue the online discussions in the current format
	 Create a single discussion group for follow-up
	 Maintain a Web site with material presented
	 Prepare printed proceedings

Please add any other comments you have on these questions:


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