Shiloh 2019 Feedback Form
Feedback on sessions
Have you attended Shiloh before ? If Yes, please select the years you attended.
Please give your opinion on: *
Very useful
Somewhat useful
Low quality
I prefer to avoid
Too difficult to follow
Plenary sessions - Rev. Ashok Andrews
Plenary sessions - Mr. Cherian George
Breakout sessions
Group discussions
Pre-conference sessions
Please rate the following: *
Very good
Very bad
Drinking water
Travel arrangements
Any other suggestions to improve your experience at Shiloh ?
Your answer
How did Shiloh impact you?
Please check only items that apply to you.
What did you learn during this Shiloh?
What decisions have you taken in this Shiloh?
Do you have any suggestions for the topics covered, speakers and sessions?
Suggestion 1.
Your answer
Suggestion 2.
Your answer
What are your top two memorable experiences during this program?
Experience 1.
Your answer
Experience 2.
Your answer
What are your top two unanswered questions ?
Questions for which you are looking for an answer.
Question 1.
Your answer
Question 2.
Your answer
Is there any other way we may be of assistance?
Your answer
Tell us more about you
How did you hear about Shiloh ?
Your answer
Gender *
Email *
Your answer
Year of study
Course enrolled in
Institution name
Your answer
Mobile phone number
Your answer
Would you like to visit a mission hospital for a mission exposure trip?
Do you wish to get occasional update / information regarding training and other options / future programs at CMC? *
If yes, what is the best way to contact you?
Never submit passwords through Google Forms.
This form was created inside of Distance Education Christian Medical College.