Memory Project Speakers Bureau - Volunteer Speaker Feedback Form


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. 

Basic Information

Name of Speaker

Name of Organization

Date of visit

Format: mm-dd-yyyy

Age of Group

Elementary School
Middle School
High School
University
Community Group
Other:
Size of group

Duration of the visit

Less than an hour
Between 1-2 hours
Between 2-3 hours
Longer than 3 hours

How many groups did you speak to during this visit?

Overall Satisfaction

On a scale from 1-10 how would you rate your overall satisfaction with this visit?

  1 2 3 4 5 6 7 8 9 10
1 being low and 10 being high
1
2
3
4
5
6
7
8
9
10

Would you participate in visits again?

Did you receive adequate support from Memory Project staff?

Additional Visits

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.

Open Questions

Please provide any additional information and comments.