Safe Student Initiative
Follow-Up Survey
Name
First Name
Last Name
Email
*
example@example.com
School
How would you rate the overall communication and logistics for the program?
*
Excellent
Good
Fair
Needs improvement
Please describe
How would you rate the quality and effectiveness of the speakers?
*
Excellent
Good
Fair
Needs improvement
Please describe
To what extent were students engaged during the presentation?
*
Highly engaged
Moderately engaged
Slightly engaged
Not engaged
Please describe
How relevant and appropriate were the topics covered for your students?
*
Very relevant
Somewhat relevant
Not very relevant
Not relevant
Please describe
What impact do you feel the presentation had on student awareness or understanding of the topic?
*
Strong impact
Some impact
Minimal impact
No impact
Please describe
What is one suggestion you have to improve future presentations?
Please feel free to leave any additional comments you may have.
We value your feedback. May we share your comments to help illustrate the impact of our programs (e.g., in reports, grant proposals, presentations, our website, and social media)?
*
Yes, with attribution
Yes, anonymously
No
Submit
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