Email  *

Did you attend both days of the Empowerment or just one day at our Event?  *  Both Saturday and Sunday   Saturday only   Sunday only 

Which speaker had the biggest impact on you?  *  Richard Cohn   Savannah Ross   LuAn Mitchell   Harold Taylor   Greg Reid   Tim Levy   Nik Halik   Steve Stealth Miller   Les Brown   Adam Ginsberg 

Which speaker had the 2nd biggest impact on you?  *  Richard Cohn   Savannah Ross   LuAn Mitchell   Harold Taylor   Greg Reid   Tim Levy   Nik Halik   Steve Stealth Miller   Les Brown   Adam Ginsberg 

Which speaker had the 3rd biggest impact on you?  *  Richard Cohn   Savannah Ross   LuAn Mitchell   Harold Taylor   Greg Reid   Tim Levy   Nik Halik   Steve Stealth Miller   Les Brown   Adam Ginsberg 

On a scale of 1 to 10, how did the Empowerment Summit rate?  *  10   9   8   7   6   5   4   3   2   1 

There is always room for improvment, what could we have done better at the Empowerment Summit?  *

What type of Speaker would you like to see at The Empowerment Summit 2?

Do you have a testimonial about the Empowerment Summit and what it did for you?

Can we use your Testimonial on our site and print media?  Yes   No