Workshop Evaluation Name(Required) Address PhoneEmail Address(Required) Overall, how satisfied were you with the material presented in this class/webinar?(Required)- Select One -Very SatisfiedSatisfiedNot SureUnsatisfiedVery UnsatisfiedAre you currently enrolled in Medicare?(Required)- Select One -YesNoIf no, when will you be eligible for Medicare? (month/year)(Required) What information was the most helpful?(Required) Any suggestions to make this class/webinar more effective?Please have Beyond Medicare contact me for follow-up:(Required)- Select One -YesNoPhoneThis field is for validation purposes and should be left unchanged. Δ
