Everything You Wanted to Know About

MEDICAID

(but didn't know who to ask)

webinar evaluation form

We are constantly looking for ways to improve our services for our clients and guests. We’d appreciate you taking a moment to review the following and offer any comments.

From all of us at BSF&B, thank you!

Please fill and submit our form online, or you may download the PDF version by clicking the button below.

DOWNLOAD WEBINAR EVALUATION FORM

Please email your completed PDF form to: rshapiro@mid-hudsonlaw.com

Limited time offer!

A free copy of Rich’s book will be provided to any attendee who schedules an appointment with the firm within 20 days of the webinar!

URL
This field is for validation purposes and should be left unchanged.
Please contact me so that I may schedule a no cost, no obligation consultation to discuss my estate/medicaid planning needs with one of BSF&B's estate planning attorneys.*
First Name**
Last Name*
Email*
Phone*
Please select the appropriate choice for the following:
Speakers knowledge of subject
Speakers enthusiasm for subject
Speakers rapport with participants
Speakers clarity of expression
Speakers ability to encourage group participation
Comments:
Amount of information presented
Quality of information presented
Amount of new information presented
Overall satisfaction with webinar
Comments:
ADDITIONAL FEEDBACK
What did you particularly like about this webinar?
How can we improve this webinar?
How did you hear about us?
Will you recommend this webinar to others?
Other comments:
CONSENT: We appreciate your feedback. Although not required, we’d like to ask that you consider allowing BSR&B to include your name and invaluable comments on our website and/or other promotional mediums so that others may benefit from your experience. To grant permission, please read the below and sign.
Consent is not required; your feedback is still incredibly valuable so we do encourage you to share your thoughts.
Voluntary Authorization and Release Information
These statements may be used in printed publications, multimedia presentations, on websites, or in any other distribution media. I agree that I will make no monetary or other claim against BSF&B for the use of the statement. In addition, I waive any right to inspect or approve the finished product, including written copy, wherein my feedback appears. I hereby hold harmless and release BSR&B from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. I have read the authorization and release information and give my consent for the use as indicated above.
I grant permission for my name and my feedback to be used in connection with publicizing and promoting BSF&B.
These statements may be used in printed publications, multimedia presentations, on websites, or in any other distribution media. I agree that I will make no monetary or other claim against BSF&B for the use of the statement. In addition, I waive any right to inspect or approve the finished product, including written copy, wherein my feedback appears. I hereby hold harmless and release BSR&B from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. I have read the authorization and release information and give my consent for the use as indicated above.
The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.
*
- *I have read and understand the disclaimer. I agree to BSF&B's privacy policy.
- I'd like to receive updates about complimentary workshops, articles, advice, and tips from BSF&B. (NOTE: We don't spam, and you can unsubscribe at any time.)
reCaptcha

845 291 0011

Everything You Wanted to Know About

MEDICAID

(but didn't know who to ask)

webinar evaluation form

Limited time offer!

Please select the appropriate choice for the following:

ADDITIONAL FEEDBACK

Voluntary Authorization and Release Information

LET'S CONNECT

Goshen Office

Monticello Office

© 2026 Blustein, Shapiro, Frank & Barone, LLP. All Rights Reserved.

845 291 0011

Everything You Wanted to Know About

MEDICAID

(but didn't know who to ask)

webinar evaluation form

Limited time offer!

Please select the appropriate choice for the following:

ADDITIONAL FEEDBACK

Voluntary Authorization and Release Information

LET'S CONNECT

Goshen Office

Monticello Office

Sign up for email updates

© 2026 Blustein, Shapiro, Frank & Barone, LLP. All Rights Reserved.