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Fields
Zoom Questionnaire
* Questionnaire Needs to be submitted at least 2 weeks in advance of event. *
Point of Contact
Name
First Name
Last Name
Phone
Email
What type of Zoom Event?
Meeting
Webinar
Date of Event:
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Month
Jan
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Year
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2027
Hour
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Minute
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AM/PM
AM
PM
Date of Practice:
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Month
Jan
Feb
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Apr
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Jun
Jul
Aug
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Dec
Day
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Year
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
Hour
01
02
03
04
05
06
07
08
09
10
11
12
Minute
:
00
01
02
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59
AM/PM
AM
PM
Recurring Event Dates (optional):
https://alfredstreet.formstack.com/forms/images/2/calendar.png
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
Hour
01
02
03
04
05
06
07
08
09
10
11
12
Minute
:
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
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40
41
42
43
44
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46
47
48
49
50
51
52
53
54
55
56
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59
AM/PM
AM
PM
Topic:
Duration of Event:
Description: (optional for webinar)
Zoom Features
Zoom Features
Enabled
Disabled
Automatically Record Session
Zoom Features: Automatically Record Session (Enabled)
Automatically Record Session (Disabled)
Waiting Room
Waiting Room (Enabled)
Waiting Room (Disabled)
Meeting Polls/Quizzes
Meeting Polls/Quizzes (Enabled)
Meeting Polls/Quizzes (Disabled)
Meeting Survey @ End
Meeting Survey @ End (Enabled)
Meeting Survey @ End (Disabled)
Chat
Chat (Enabled)
Chat (Disabled)
Send Files via Chat
Send Files via Chat (Enabled)
Send Files via Chat (Disabled)
Practice Session/Green Room(Webinar Only)
Practice Session/Green Room(Webinar Only) (Enabled)
Practice Session/Green Room(Webinar Only) (Disabled)
Q & A(Webinar Only)
Q & A(Webinar Only) (Enabled)
Q & A(Webinar Only) (Disabled)
Saved Chat
Saved Chat (Enabled)
Saved Chat (Disabled)
Analytics Report
Analytics Report (Enabled)
Analytics Report (Disabled)
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