Event Feedback

Thank you for attending one of my community events! Your feedback is greatly appreciated. Please provide as much information as you feel comfortable sharing so that I might be able to better serve our community in the future. 

 
Name of the presentation (or topic of discussion)
Date of presentation
Date of presentation
How did you hear about this event? *
Rate on a scale of 1-5. 1 = not helpful at all, 5 = very helpful.
(If the event being hosted was something of interest to you?)
What topics would you be interesting in learning more about? *
Check all that apply.
Or the general area in which you reside. This helps me know how far my work has spread.