TLC Participant Evaluation and Feedback
This survey is used to evaluate TLC events
Would you like to have an electronic certificate of completion sent to you via email?
Note: If you choose yes, please make sure you enter your email address and name below.
What is your email address? (Optional - leave blank if you wish to remain anonymous.)
Your answer
What is your name? (Optional - leave blank if you wish to remain anonymous.)
Your answer
Which event did you attend most recently? *
If other, please list the event or occasion.
Your answer
Using the scale below, please rate your agreement with the following statement: Today’s topic was covered to my satisfaction. *
(circle the number that best matches your opinion)
Completely Disagree
Completely Agree
Using the scale below, please rate your agreement with the following statement: I benefitted from today's activity. *
(circle the number that best matches your opinion)
Completely Disagree
Completely Agree
What, if anything, did you find most helpful about today’s activity?
Your answer
What, if anything, would you change about today’s activity?
Your answer
Is there anything related to today’s topic that you would like to discuss in future sessions? Please elaborate.
Your answer
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