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Memphis Black Writers Survey Form

1, At what level did you participate?

___ Attendee ___ Speaker ___ Vendor/Author ___ Vendor/ Other ___Sponsor ___
Advertiser ____ Volunteer ___Other

2. Please check the events that you attended:

__ Christian Authors Breakfast __ Youth Symposium __ Poetry Showcase __ Award’s
Dinner (Isaac Hayes) __ Workshop(s) (List below) __ Film Fest (List Films) __ Writers
Panel

*Films viewed:

______________________________________________________________________

______________________________________________________________________

*Comments:

______________________________________________________________________

______________________________________________________________________

#Workshops Attended:

___________________________________________________________________

______________________________________________________________________

#Comments:

______________________________________________________________________

______________________________________________________________________

3. Name three things that you liked about the Memphis BWC:

________________________________________________________________________

________________________________________________________________________

4. Name what you disliked about the conference:
_______________________________________________________________________

5. Would you prefer a pay a one-time registration fee to cover all workshops or to pay for
each individual workshop?

___ One-time registration fee ___ Individual workshop fee

6. What should be the cost of the one-time registration fee? $ _____

7. What should be the cost of the individual workshop fees? $ _____

8. What author(s)/ or actor(s) would you like to see at the next Black Writers Conference?

________________________________________________________________________

________________________________________________________________________

9. I work for _____________________________________________ corporation/ company

10. They __ did ___ did not sponsor the Memphis Black Writers Conference.

11. I think that my company or other companies should support the BWC with a donation of $ _________

12. Among the companies that you patronize, which would you like to see support the Memphis BWC?:

A. Grocers/ Food:

________________________________________________________________________

B. Retailers/Dept:

________________________________________________________________________

C. Oil Companies:

________________________________________________________________________

D. Banks:

________________________________________________________________________

E. Service Providers: (tv, cable, phone, utility

__________________________________________________

13. How would you rate this year's BWC?

___ Excellent ___Good ___Fair ___ Poor

Comments:

________________________________________________________________________

______________________________________________________________________________________

OPTIONAL:

NAME:

________________________________________________________________

ADDRESS: __________________________ CITY _______________ ST__ Zip ______

PHONE:(H) __________ (W) __________ (FAX) _______(CELL/PG) ___________

EMAIL: _____________________________ WEBPAGE _______________________

Email or Send Comments to:
MemphisBlackWriters@Yahoo.com OR
MEMPHIS BLACK WRITERS CONFERENCE

Mailing Address:

Ashaun, LLC/Withers
Attn: Lawrence Wayne, Memphis BWC
3043 Airways Blvd. Ste. 3 Bldg B
Memphis, TN 38131
901-392-0632 off