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* 1. Type of program:

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* 2. Event Name:

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* 3. Event Location

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* 4. Event Date:

Date

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* 5. How did you hear about this event?

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* 6. What did you most appreciate about this event?

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* 7. How would you rate this event overall?

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* 8. How would you rate the presenter/performer's knowledge of the subject?

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* 9. How would you rate the presenter/performer's presentation skills?

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* 10. Do you feel more connected to your community?

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* 11. Do you feel more inspired to read as a result of this program?

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* 12. Did you learn something new?

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* 13. If attending a workshop or class, did you learn a new skill?

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* 14. What would you suggest to improve this event?

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* 15. What other events/workshops/performances would you like to see offered in the future?

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* 16. May we add you to our e-newsletter list and contact you if we have any questions?

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