Please take a few moments to complete this this form and let us know how your speaking engagement went. We are always striving to improve our programming and greatly value your input.
Name of Speaker
Name of Organization
Date of visit
Age of Group
Duration of the visit
How many groups did you speak to during this visit?
On a scale from 1-10 how would you rate your overall satisfaction with this visit?
Would you participate in visits again?
Did you receive adequate support from Memory Project staff?
Have you visited, or do you plan to visit, any additional school or community groups this year? Please let us know the name of the group, the date of the visit, and is the size of the audience.
Please provide any additional information and comments.