SCOSA Festival Evaluation Question Title * 1. Please complete the following information. It will be used to send you notices about SCOSA events and satisfy funding requirements so that we can continue to bring this kind of programming to you. Name: Address: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: Phone Number: Question Title * 2. Overall, how would you rate the event? Excellent Very good Fairly good Mildly good Not good at all Question Title * 3. How likely are you to recommend the event to a friend or colleague? Extremely likely Very likely Moderately likely Slightly likely Not at all likely Question Title * 4. How unique was the event? Extremely unique Very unique Fairly unique Slightly unique Not at all unique Question Title * 5. What did you like about the event? Question Title * 6. What did you dislike about the event? Question Title * 7. How organized was the event? Extremely organized Very organized Somewhat organized Slightly organized Not at all organized Question Title * 8. How helpful were the presenters and volunteers? Extremely helpful Very helpful Somewhat helpful Slightly helpful Not at all helpful Question Title * 9. How safe did you feel at the event? Extremely safe Very safe Somewhat safe Slightly safe Not at all safe Question Title * 10. Is there anything else you’d like to share about the event? Question Title * 11. The Older Americans Act also requires us to collect some basic information about you so that we can provide summary reports on our programs and their participants. Your information will only be included in such summary forms and every effort will be made to protect your privacy. Please indicate your race, ethnicity and income level. White/Non-Hispanic White/Hispanic American Indian/Alaskan Asian Black/African American Native Hawaiian/Pacific Islander Hispanic/Latino Other Race Two or More Races Income level under $11,770 for one person or $15,930 for 2 people Our Festival and Older Adult Education Program are partially supported through Older Americans Act funds provided by Atlantic County Government. As required by the Act, SCOSA welcomes your voluntary donations, which will be used to support future programs. Such donations are not a fee and not required. If you would like to make a donation to SCOSA click here and you will be taken to Stockton's secure online Bursar site. Thank you. Done