VOICE Wide Listening Campaign Reporting Tool
Please use the following form to record information regarding the listening sessions being hosted throughout Northern Virginia.
Email address
Host Name
Your answer
Host Phone Number
Your answer
Host's Institution
Your answer
Date of Listening Session
MM
/
DD
/
YYYY
Listening Session Location
Your answer
How many people attended the listening session?
Your answer
What were the 2-3 main issues that were discussed?
Your answer
What follow-up commitments were made and by whom?
Your answer
List names and contact info for the 2-3 people you found most interesting (and what they were concerned about).
Your answer
Any other comments?
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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