FEEDBACK FORM

Thank you for taking the time to provide feedback so I can improve the QUALITY OF THE experience at future SPEAKING ENGAGEMENTS! It is much appreciated.

I may use some of your answers as testimonials on my site. Please indicate if you would prefer your organisation’s name to remain anonymous. Also, feel free to skip any questions you do not have an answer for.

Your Name?

First Name

Last Name

What is the name of the organisation you represent?

What is the name and date of the speaking engagement you are providing feedback for?

At your final count, what was the number of people in attendance at this event?

FEEDBACK

How did you hear about me, Mary Adeyemi and/or viSHEbility?

Did you have any hesitations before engaging me to participate at your event as a Speaker/Panelist?

What is the most valuable thing you learned or awareness you came to during the session?

Are there specific changes you would recommend that would have made the session or overall experience more valuable for your organisation and the audience?

These could be administrative, the breath of content or my style of delivery (amongst other things)

Do you have any general feedback from your team and/or audience that you would like to share with me?

Would you like to be kept up to date with our work at viSHEbility and how you can continue to support the black female community?

Please include the best email address to send this information to

OTHER CONFIRMATIONS

May we use your testimonial on our website?

Would you prefer your Company name to remain Anonymous?

Yes

No/I do not mind

N/A, we don't want our testimonial shared

FEEDBACK FORM

Thank you for taking the time to provide feedback so I can improve the QUALITY OF THE experience at future SPEAKING ENGAGEMENTS! It is much appreciated.

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