Program Survey
Thank you for joining us today! Your feedback is important to us. Kindly fill out the brief survey below.
Full Name
First Name
Last Name
Email
example@example.com
Zip Code
How did you hear about this program?
Social Media (Facebook, Instagram, Twitter)
Website
E-Blast (Newsletter)
Friends or Family
Other
Heading
How would you rate today's program? Please rate the following questions below from (1) Very Unsatisfied to (5) Very Satisfied.
Platform (Zoom)
(1) Very Unsatisfied
(2) Unsatisfied
(3) Neutral
(4) Satisfied
(5) Very Satisfied
Content
(1) Very Unsatisfied
(2) Unsatisfied
(3) Neutral
(4) Satisfied
(5) Very Satisfied
Length of Program
(1) Very Unsatisfied
(2) Unsatisfied
(3) Neutral
(4) Satisfied
(5) Very Satisfied
How likely are you to attend another program from us?
(1) Very Unikely
(2) Unlikely
(3) Maybe
(4) Likely
(5) Very Likely
Preferred Format (check all that apply)
Live
Pre-Recorded
Preferred Time (check all that apply)
9am - 12pm
12pm - 5pm
5pm - 9pm
Other
What kind of activities would you like to see from our program? (Check all that apply)
Panels and Conversations
Virtual Tours
Live Performances
Storytelling and Workshops
Dance and Movement Workshops
Wellness Programs
Films and Documentaries
Other
Feel free to comment on any additional recommendations.
Thanks for filling out our survey!
Submit Form
Should be Empty: