WIMC Conference survey> <center>WIMC'S CONFERENCE ON HEALTHCARE AND MANAGED CARE IS COMING!</center> Women in Managed Care is planning a one-day conference on women's health, managed care issues, and women's place in the managed care industry to take place in early 2000. Before we finalize the topics, date, and location, we want to know what our members and other interested women in the field want! Please fill out this survey so we can tailor this conference to suit you. Print this page and fax it back to WIMC at 804/527-1905! <table border=0><td> Name: Title: Company: E-mail: Address: City/State/Zip: Phone: Fax: </td> <td> ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ </td> </table> 1) Please put the following topics in order of importance (1=most important, 6=least important) ___ The future of managed care ___ Behavioral Health ___ Careers/market ___ Women's place in managed care ___ Preventative Medicine ___ Alternative Medicine What other topics would you like to see covered? __________________________________________________________________________ __________________________________________________________________________ 2) What day of the week would you be most likely to attend this one-day conference? <table> <td> ___ Monday ___ Friday </td> <td> ___ Tuesday ___ Saturday </td> <td> ___ Wednesday ___ Sunday </td> <td> ___ Thursday ___ Any Day </td> </table> 3) Which month would be most convenient for you to attend? ___ January 2000 ___ February 2000 ___ March 2000 ___ other: ________________ 4) What do you think is a reasonable price for this conference?___________________ 5) Any other comments/suggestions to help us plan this conference? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ MEMBERS ONLY SECTION 6) What first prompted you to join WIMC? __________________________________________________________________________ 7) What can we do differently in the future to continue to meet your expectations? __________________________________________________________________________ Thank You! Laura Bousquet Director of Communications