Community Health Outreach Event Feedback Form
Event Details
Event Name:
Date Attended:
Your Information
Name (Optional):
Age Group:
Under 18
18-24
25-44
45-64
65+
Feedback
How would you rate your overall experience?
Excellent
Good
Fair
Poor
What could be improved?
What did you like most about the event?
Topics or services you'd like to see at future events:
Other comments or suggestions: