CS – Survey Page – Converging Roads – Charlotte, NC

Please fill in your name:*

First Last

Please fill in your email address:*

Please fill in your phone number:

Did you attend in person or online?

In Person
Online

Describe your profession.*

Other (Please specify)

The main objective of this conference is to better equip health care professionals to practice the highest ethical and medical standards of their profession. How well did it accomplish this objective?*

Exceedingly Well
Very Well
Satisfactory
Did not accomplish the objective

Will your participation in this conference have a positive impact on the care you provide your patients?*

Yes
No
N/A

Would you recommend a Converging Roads conference to a colleague?*

Yes
No

How would you rate the presentation "Understanding the Church's Teaching on Sexuality and Fertility: The 'Why' Behind the 'No'" by Rev. Matthew Kauth, STD?*

Comments and feedback:

How would you rate the presentation "The Gift of the Human Person: A Christian Anthropology for Understanding Gender and Sexuality" by Theresa Farnan, PhD?*

Comments and feedback:

How would you rate the presentation "Gender Identity Discordance: Supporting Patients and Families" by Rev. Philip G. Bochanski, MDiv, MA?*

Comments and feedback:

How would you rate the panel discussion "Integrating Catholic Directives to Your Practice: The Roles of Faith Within Medicine"?*

Comments and feedback:

How would you rate the presentation "The Menstrual Cycle as a Vital Sign" by Marguerite Duane, MD, MHA, FAAP?*

Comments and feedback:

How would you rate the presentation "Medical and Surgical Interventions for Fertility" by Gavin Puthoff, MD?*

Comments and feedback:

How would you rate the panel discussion "Artificial Reproductive Technologies and Medical Effects of Contraception"?*

Comments and feedback:

Please rate the emcee:*

Comments and feedback:

Was the venue conducive to the overall conference experience? (comfort, parking, location...)

Very Conducive	Conducive	Not Conducive

Comments and feedback:

How would you rate the food and beverage selections?

Comments and feedback:

Did you attend the White Mass and Reception?

Yes
No

Comments and feedback:

How did you access the online conference? (check all that apply)

Desktop or Laptop
Audio Only
Tablet or Smartphone
Livestreamed
Recordings

Was the online platform conducive to the overall conference experience? (access, quality of audio/visual, etc.)

Very Conducive	Conducive	Not Conducive

Did the schedule (start/end times, timing of the breaks) allow for full conference participation?

Yes
No
N/A - I did not participate live

Under normal circumstances, would you have attended Converging Roads in person?

Yes
No

In your particular field, what is the typical attendance fee for a one-day continuing education conference?

Would you be interested in attending another Converging Roads conference?*

Yes - in-person only
Yes - online only
Yes - both
No
No (*if not annually, please list frequency in "comments and feedback")

Comments and feedback:

Which of the following conference themes would you be interested in discussing at a future Converging Roads conference?

Fundamental Health Care Ethics
Human Dignity at the Beginning of Life
Human Dignity at the End of Life
Dignity & Disability in Medicine
Catholic Social Doctrine in Medicine
Catholic Medicine in a Secular Society
Health Care and Human Dignity

Other (please specify):

Overall, was Converging Roads a meaningful experience for you?*

Yes
No

Comments and feedback:

Please share any additional feedback about your experience. Positive comments may be used anonymously (website, newsletters, social media) to encourage others across the nation to attend Converging Roads conferences.

Would you like to participate in or support the mission of the St. John Paul II Foundation in any of the following ways?

Check all that apply!

Pray for us!
Serve on our Event Planning Committee
Assist in promoting Converging Roads
One-Time Donation
Monthly Donation
Receive additional information about becoming a member of our Legacy Circle or Founder's Circle

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