Tell Us About The Event

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* 1. Event's ReqID # (refer to the Community Request Form, the ReqID box shaded in yellow)

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* 2. Event Date

Date

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* 3. Speaker's Name:

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* 5. Speaker's SPA/Program:

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* 6. Organization/Department Receiving Presentation:

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* 7. Number of Participants:

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* 8. Audience Composition (check all that apply)

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* 9. Would you fulfill a request for this organization/department in the future?

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* 10. Tell Us About The Speakers' Bureau Tools

  Strongly Agree Agree Disagree Strongly Disagree
I felt knowledgeable about the topic.
The speaker’s notes helped me effectively deliver the presentation.
Overall the presentation was effective in providing new information to the audience.

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* 11. General Comments Ex:Frequently asked audience questions or suggesions

T