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Nina Segura Speaker
-Global Institute of Organization Development (GIODN) Evaluation Form
In order to improve my presentation and support your organization further. I’d appreciate your feedback!
Please take a few minutes and return this form to me after the presentation.
1.
The most important idea, story or concept I learned:
2.
What is one thing you're committed to doing as a result of the presentation?
3.
Please rate the quality of this experience on a scale of 1-7 (7=best):
1
2
3
4
5
6
7
4.
I would describe Nina Segura as:
5.
You have permission to use my full name and the above quote in your marketing materials.
Yes
No
6.
I know a business or organization that would benefit from Nina’s presentation:
Organization / Association / Group:
Phone:
Email:
7.
You have permission to use my name when you contact this person/organization.
Yes
No
8.
I’m interested in learning about other programs that go deeper into this topic.
Yes (please specify, your follow-up preference):
Phone call
Email
Text
9.
I’m interested in learning about Nina's women's business mastermind program
Yes (please specify, your follow-up preference):
Phone call
Email
Text
10.
What other topics would you like to hear about from Nina?
11.
What other topics would you like to hear about from GIODN?
12.
Contact Information (optional):
Full Name
Company
Email Address
Phone Number/Text