PIB Attendee Survey

Thank you for joining us! Please take a moment to let us know what you thought of the event and be entered to win a pair of Apple AirPods. (You must enter your email address in order to be eligible to win)

First Name

Last Name

Group Name *

Email Address

Please rate this event. *

Age

Occupation

How many ACS PIB events have you attended including tonight?

This is my first

Two

Three

Four or more

Were you able to network / mingle at this event?

Yes

No

How did you learn about this event?

Rate the following from most important (1) to least important (3).

	Program Content
	Networking / Minglinging
	Resources / Giveaways

Briefly Let us know what you thought of the event.

Are you a member of the American Chemical Society?

Yes

No

Would you like to learn more about ACS?

Yes

No

Would you like to learn more about the Division of the History of Chemistry?

Yes

No

Would you like to learn more about the Division of Nuclear Chemistry and Technology?

Yes

No

By entering your email and submitting this form, you submit your information to the American Chemical Society, who will use it to communicate with you regarding this event and their other services. The ACS values your privacy and will not release your information to any outside group.