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2. Event or Program Details
4. Event or Program Name:
6. Date of Event or Program:
   Date of Event or Program:
8. Overall Experience
10. How would you rate your overall experience?

    1. Excellent
    2. Good
    3. Fair
    4. Form
12. What did you enjoy most about this offering?
14. Was the offering accessible and inclusive?

    1. Yes
    2. Somewhat
    3. No
    4. Not Sure
16. If somewhat or no, please share details here:
18. Opportunities for Improvement
20. What suggestions do you have for improving this offering?
22. Are there any topics, speakers, or types of programs you'd like to see in the future?
24. Future Engagement
26. Would you be interested in partnering with us for future programming?

    1. Yes, please contact me about potential partnerships.
    2. Maybe but I'd like more information.
    3. No, not at this time.
28. Would you like to receive updates on future programs and offerings?

    1. Yes, please add me to your contact list.
    2. No, thank you.
30. Email Address (for updates or newsletter subscription):

    Your email will only be used for community engagement updates and/or newsletter subscription.

32. Additional Comments
34. Please share any additional feedback, comments, or questions.
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field