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Speakers' Bureau Survey

   

In order to serve you better in the future, would you please provide us with the following information about your organization and the speaker's presentation you requested from the EPA. Please fill out the entire report, then click on the submit button at the bottom of the form.

   

 

FILL IN PARTICIPANT DATA

Name of EPA Presenter:

Topic of Presentation:

Date of Presentation:

Name of Your Institution or Organization:

Contact (optional):

Number in Audience: (Participants should be thought of as "target recipients" of the Program, and do not include staff, volunteers, or mentors who help in the implementation of the Program.)

Total Number of Participants:


Please left-click in the box that most fits your level of agreement with each of the following statements.

PROGRAM VALUE:

This program was a valuable experience.
Strongly Agree      Agree      Disagree      Strongly Disagree

The content of this program matched your organization's objective.
Strongly Agree      Agree      Disagree      Strongly Disagree

This program helped you better understand the purpose and goals of the EPA.
Strongly Agree      Agree      Disagree      Strongly Disagree


PRESENTATION:

The speaker was well organized.
Strongly Agree      Agree      Disagree      Strongly Disagree

The speaker maintained good rapport with the audience.
Strongly Agree      Agree      Disagree      Strongly Disagree

The speaker stayed on the subject.
Strongly Agree      Agree      Disagree      Strongly Disagree

Overall, I was satisfied with the job done by the speaker.
Strongly Agree      Agree      Disagree      Strongly Disagree

I was satisfied with the overall quality of the presentation.
Strongly Agree      Agree      Disagree      Strongly Disagree

Visuals, demonstrations and hand-outs enhanced the interest of the presentation.
Strongly Agree      Agree      Disagree      Strongly Disagree

Information was clear and easy to understand.
Strongly Agree      Agree      Disagree      Strongly Disagree

Information was not what we requested.
Strongly Agree      Agree      Disagree      Strongly Disagree

I will request speakers in the future.
Strongly Agree      Agree      Disagree      Strongly Disagree


COMMENTS/SUGGESTIONS

Thank you very much for filling out this form.

To complete the form, click on the submit button.

 
     

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