Presented by Ron Alford

Thank you for your participation. Please take a minute to give me
your honest feedback on the information presented here.
Please hand this form in as you leave the room.

1. Please rate this presentation, using the scale of 1 to 5: (1=Poor; 5=Excellent)

a. The Delivery: 1 2 3 4 5

b. The Subject: 1 2 3 4 5

2. How valuable is this information to you?

[ ] It's not [ ] Somewhat [ ] Necessary [ ] Critical

3. Has your perspective on prevention changed? [ ] Yes [ ] No

4. What is the most important thing you learned at this workshop?

5. What actions will you take as a result of this?

6. To learn how you can "disaster proof" your property,

would you be interested in talking further? [ ] Yes [ ] No

7. Please check that which applies. I am a:

[ ] Real Estate Owner [ ] Investor [ ] Other ____________

8. Would you suggest I change, delete, or add something to the program?

Would you like to be placed on our mailing list? If so, Please print your name and address on this form or leave your card with me.

Optional:

Name__________________________________________________________________

Address_________________________________City_______St______Zip __________

Telephone ( )_________________________ or ( ) ________________________