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1. What area would you like to provide feedback on? (Required.)

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2. If applicable - enter the Date of the Event or Meeting.

Date

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3. If applicable - enter the Speaker or Event name.
(Ex: Social, Community Service, Committee Meeting, Cookie Cart Speaker)

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4. How would your rate the quality of this speaker or event?

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5. Please share any other comments you have below: (Required.)

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6. Please share your name and email address if you would like someone to contact you about your feedback.

Thank you
Minnetonka Rotary Club
Building Responsible Youth
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