Event Title
Event Date
Event Feedback
How did you hear about this event?
Please Select
Social Media
Friend/Family
Email/Newsletter
News/Media
Member of Delta Sigma Theta, Inc.
TAC Chapter Announcement
Other
On a scale of 1-10, how would you rate your overall experience and/or satisfaction with the event?
*
Not Satisfied
1
2
3
4
5
6
7
8
9
Extremely Satisfied
10
1 is Not Satisfied, 10 is Extremely Satisfied
Please rate your level of satisfaction with the following. (1 = Not Satisfied, 5 = Very Satisfied)
Rows
1
2
3
4
5
N/A
How satisfied were you with the clarity of communication about the event prior to your attendance?
How satisfied were you with the venue/location of the event?
How satisfied were you with the engagement level of the speakers/presenters/hosts at the event?
How satisfied were you with the relevance of the content of the event to your interests?
What was your primary reason for attending this event?
What did we do well in this event?
How can we improve this event?
Recommendation & Future Attendance
On a scale of 1-5, how likely are you to recommend this event to others?
Highly Unlikely
1
2
3
4
Highly Likely
5
1 is Highly Unlikely, 5 is Highly Likely
On a scale of 1-5, how likely are you to attend a similar event in the future?
Highly Unlikely
1
2
3
4
Highly Likely
5
1 is Highly Unlikely, 5 is Highly Likely
Please share any final comments or suggestions for us to consider for future events.
Demographics
Gender
*
Please Select
Female
Male
Non-binary
Prefer not to say
Age
*
Please Select
Under 18
18 - 24
25 - 30
31 - 40
41 - 50
51 - 60
61 - 70
Over 70
Prefer not to say
Race/Ethnicity
*
Please Select
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Two or More Races
Other
Prefer not to say
Education Level
Please Select
Some high school, no diploma
High school graduate or equivalent (e.g., GED)
Some college, no degree
Associate degree
Bachelor’s degree
Graduate or professional degree
Prefer not to say
Select the city and state in which you currently live.
Affiliation
Are you a member of Delta Sigma Theta Sorority, Incorporated?
*
Yes
No
What is your current chapter of affiliation?
Are you a member of another Sorority/Fraternity?
*
Yes
No
Sorority/Fraternity Name
Are you a member of any other community organization?
*
Yes
No
Community Organization Name
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