Speakers Bureau Audience Evaluation Form

This form should be used by anyone that attends a Kentucky Speakers Bureau presentation and would like to send us your feedback.

Attendee's Name

Street Address

City

State

Zip Code

Phone

Email Address

Chautauqua or Speakers Bureau Presenter

Date of Presentation

Location of Presentation

Speaker's Message

Speaker's Delivery

Speaker's Organization/Flow

How valuable were the ideas and concepts presented?

How effective was the presentation?

What two things did you like the best?

What two things would you suggest the presenter change, add, or delete?

How did you find out about the program?

Is there a company or organization you feel would benefit from hearing this presenter?

Would you like to receive KH mailings?

Would you like to make a tax-deductible donation to Kentucky Humanities?

Not at this time

Yes, I would like to make a donation now.