Program Feedback Form

Date *

Program Title/ Topic *

Presenter

How did you hear about the program? *

Program Length? *

Convenient Time? *

Did the program meet expectations?

Would you attend other programs?

What did you like/ dislike about the program? If you answered 'no' to any of the questions in this section, can you expand?

Was it organized? *

How was audience participation?

Knowledgeable *

Did the presenter answer your questions?

Will you be taking action because of this program?

If so, what do you plan to do?

What other programs would you like to see hosted? We welcome your ideas!

Any other feedback?

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