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OSDS Workshop Video Evaluation Form
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1.
Which OSDS Workshop did you watch?
(Required.)
Baldwin County Focus
Mobile County Focus
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2.
What year was your tank installed? (Estimate, if needed.)
(Required.)
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3.
What is the size of your tank? (Estimate, if needed.)
(Required.)
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4.
What was the date of your last pump-out? (Estimate, if needed.)
(Required.)
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5.
Please respond Yes or No to the following questions:
(Required.)
Yes
No
Would you like to have your tank pumped out?
Yes
No
Would you like to participate in a future program for a septic tank pump-out?
Yes
No
Would you say you’ve learned how to better take care of your septic tank?
Yes
No
Were there any agency contacts that you learned about?
Yes
No
Would you be more likely to contact them for more information?
Yes
No
Comments:
6.
If you would like to receive information in the future about the free pump-out program, please provide your name, email, address, and phone number:
7.
What other suggestions would you provide to the Alabama Coastal Foundation to improve online learning for future workshops?
