Your Name(s): *


Your Email: *


Are you planning to attend the rally? *
Yes
Undecided
No

Is this your first Eastern States rally?
Yes
No

Where and/or when was the most recent rally you attended?


What do you like about Eastern States rallies?


Is there something you'd like added or modified about our rallies?


Is there a technical topic you'd like to see presented?


If you're willing to lead a technical session, what would be the subject matter?


For Friday off-site trips (shopping or sightseeing), would you be willing to use your auto or coach for ridesharing?
Yes
No
Need more info

What type of women's activity would you recommend for this rally?


Are you willing to assist with a women's activity?
Yes
No

What type of social activity would you recommend for Friday evening?


Would you be willing to assist with preparation or cleanup of a breakfast?
Setup and Preparation
Donut Run
Cleanup

Would you be willing to assist in setup or cleanup of a dinner?
Sweep floor, straighten chairs
Prepare tables and chairs
Dispose of trash
Wipe down tables

Do you have a recommendation for Saturday's movie night?


Do you plan to attend the Sunday morning worship service?
Yes
No
Undecided

If attending, would you be willing to assist by reading scripture, leading a responsive selection or assisting with the presentation of music?
Read scripture
Lead a responsive selection
Assiste with music
Other

The KOA offers horseback riding at extra cost. Will you take advantage of this service?
Yes
Undecided
No

Would you be willing to assist with general tear-down and pack-up after the rally?
Yes
No

Do you have any other comments or suggestions to make?


Would you like a follow-up contact regarding this survery?
Yes
No