PDI Onsite Rebrand Focus Group Participant Form

Full Name

Title / Position

Email

Cell Phone

This will only be used if we need to contact you onsite at PDI.

Phone

Organization

Age

Gender

Male

Female

Prefer not to answer

How long have you been an ASMC member?

Not a member

Less than a year

Less than 5 years

5 years or more

Is this your first time attending PDI?

Yes

No

Are you a CDFM or CDFM-A holder?

Yes

No

Note your availability for focus group time slots.

Select all times that work with your schedule.

Thursday, June 1: 10:00 AM – 11:00 AM

Thursday, June 1: 11:00 AM – 12:00 PM

Thursday, June 1: 1:00 PM – 2:00 PM

Thursday, June 1: 2:00 PM – 3:00 PM

Thursday, June 1: 3:00 PM – 4:00 PM

Thursday, June 1: 4:00 PM – 5:00PM

Send me a copy of my responses