Workshop Survey

Workshop Survey Form
	Name of Church:		# of Members:
	Address:		Worship Seating Capacity:
	City:		# of Services Weekly:
	State:		# of A/V Systems:
	ZIP:		Approx. Facility Square Footage:
	Church Phone:		Like to Host a Workshop?:	Yes No
	Fax:
	Web Site:

Contact Information:
		Name	Contact Phone	Email Address	Notify of Workshops?
	Clergy #1:				Yes | No
	Clergy #2:				Yes | No
	Tech Director #1:				Yes | No
	Tech Director #2:				Yes | No
	Music Director #1:				Yes | No
	Music Director #2:				Yes | No
					Yes | No
					Yes | No
	(We respect your privacy and will not make your contact information known to others)

Your House of Worships Technical Interests (Check all that apply)
		Video Projection		Sound Isolation
		IMAG (Image Magnification)		Video Recording / Broadcast
		Sound Reinforcement		Infrastructure Planning
		Audio Broadcast / Recording		New Facility Planning
		Room Acoustics		Video Worship Software
		Other

Other Information
	Are there any specific types of topics you would like to see covered by Audio Engineering Group in future workshops?
	Yes	No	(If 'Yes', please explain)

	Are you considering any renovations to your technical systems or facility enhancements in the future?
	Yes	No	(If 'Yes', please explain)