* 1. Name of event you attended:

* 2. Please complete the following:

EVENT date:
/
/

* 3. Please reflect on the following statements:

  Strongly Agree Agree Disagree Strongly Disagree
1. Overall I was satisfied with the information shared in this event
2. The information was useful to me in my role
3. The facilitator(s) was/were well prepared
4. This venue was well suited for the event.
5. I would recommend this event to my colleagues

* 4. What was the most useful "take away" you received?

* 5. What feedback do you have for the facilitator(s)?

* 6. Please share a comment about the event. Your comment with your name (if you add your name at the end) may be shared in communications/marketing materials for the ISN.

* 7. Optional
Please share the following about yourself:

T