Community Outreach Completion Feedback Form
Please share your feedback about the community outreach event you attended. Your responses help us improve future outreach efforts.
Your Name
First Name
Last Name
Email Address
example@example.com
Event Name
*
Date of Event
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How satisfied were you with the event overall?
*
1
2
3
4
5
What aspects of the event did you find most valuable?
*
What could be improved for future events?
*
How likely are you to recommend our community outreach events to others?
*
Not likely
1
2
3
4
5
6
7
8
9
Extremely likely
10
1 is Not likely, 10 is Extremely likely
Did the event have a positive impact on you or your community?
*
Yes
Somewhat
No
Additional comments or suggestions
Submit Feedback
Should be Empty: