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* 1. What area would you like to provide feedback on?

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

Date / Time

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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:

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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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