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Audience Feedback Form

Presentation on behalf of the Latin American Studies Program

* Title of Presentation:

* Presenter:

Email:

* Presentation Date:

Presented to:

Are you a:   Teacher   Elementary School Student   Middle School Student   High School Student   Undergrad Student   Grad Student   Other

Please give a brief description of the presentation:

Number of people in attendance:

How did you hear about this event?

On a scale of 1 to 5 (1 being poor 5 being excellent) how did the audience react to the presentation?   1     2     3     4     5

Comments:

On a scale of 1 to 5 (1 being poor 5 being excellent) how did would you rate your experience on this occasion?   1     2     3     4     5

Comments:

On a scale of 1 to 5 (1 being poor 5 being excellent) how well did the presenter interact with the audience? Did the presenter engage the audience?   1     2     3     4     5

Comments:

On a scale of 1 to 5 (1 being poor 5 being excellent) how well did you absorb the information that was presented?   1     2     3     4     5

Comments:

Did the presenter leave sufficient time for questions?   Yes     No

Will you attend or request a presentation coordinated by LASP outreach in the future?   Yes     No

How can LASP outreach staff help facilitate future presentations?

What areas/topics would you be interested in learning about in the future?

On a scale of 1 to 5 (1 being poor 5 being excellent) did the presenter meet the expectations vis-à-vis fulfilling curriculum requirements? Did the presentation meet NYS standards? (For teachers only)   1     2     3     4     5

Comments:

Did the presenter send an overview to prepare the class prior to the presentation? (For teachers only)   Yes     No

Thank you very much for taking the time to fill out this form. At your request we can provide a summary of this form and audience feedback forms.

Please return to Latin American Studies Program at 190 Uris Hall or by e-mail at lasp@is.cornell.edu.