P.E.R.C. Program Evaluation Form
Thank you for attending our Parents Encouraging Responsible Choices (P.E.R.C.) Program today. Hopefully you were able to learn something and add some tools to your "parenting tool box" from attending today's program.

We would love your feedback so we can plan for future programs and speakers. Please fill this quick survey and let us know your thoughts. On each of the following questions, you can choose multiple answers.

Please join us at our next monthly P.E.R.C. committee meeting. We meet every 3rd Wednesday at 9:30AM at the Dublin City Schools Central Office. Visit www.percdublin.org for meeting dates and more information.
Did you attend the AM or PM Session? *
How did you hear about this P.E.R.C. event?
Have you ever been on the P.E.R.C. website?
If yes, do you have any feedback?
Your answer
If your child/children attend(s) school, please check which one(s).
If your school is not listed, please write it here.
Your answer
What did you like about this program? Do you have any suggestions about the program?
Your answer
Please check any topics you would like to suggest for future P.E.R.C. programs
Have suggestions? Please list any topic ideas or speakers you would like to recommend for future P.E.R.C. programs.
Your answer
Name and email (Please provide your name and email ONLY if you are not already on our email distribution list and would like to be added.)
Your answer
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