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Example Wikipedia workshop survey 

Thank you for attending Wikimedia UK event!

We will use this questionnaire to make future events and workshops better, so please do share your thoughts with us. Thank you.
1.Please rate the quality of the following. (Required.)
1 Not satisfying/not useful
2
3
4
5 Very satisfying/ useful
The workshop in general
Content
Trainers
Materials available
Your confidence to edit Wikipedia
Your understanding of Wikipedia
2.How likely are you to continue editing Wikipedia?
Very unlikely
Somewhat unlikely
Unsure
Somewhat likely
Very likely
3.Please write three words/expressions which describe this workshop for you(Required.)
4.Tell us at least one thing that would have improved this workshop for you.
5.Further comments - anything positive or negative that you would like to share!
6.If you would prefer your comments not be used in future Wikimedia UK publicity please tick
7.How may we contact you? (we will not share your email externally, and will only share the results of this survey in an anonymous way)