2. Feedback form
   Thank you for attending our presentation. Please provide feedback regarding your experience.
4. First Name*
5. Last Name
6. City*
8. May we contact you about your responses?*

   1. Yes
   2. No
9. Please provide your contact information
   Phone or email
13. What orientation did you attend today?*
    -- Select One --Center OrientationRRES OrientationOther
14. If other, please explain
16. Presenter's name*
17. Presentation location*
19. How did you hear about this presentation?

    1. Workforce staff
    2. Received letter/postcard
    3. Another agency
    4. Website
    5. Newspaper

    1. TV
    2. Flyer
    3. Social media
    4. Family/Friend
    5. Other
20. If other, please explain
22. I have a better understanding of services provided by Workforce Solutions
    -- Select One --Strongly AgreeAgreeDisagree
23. The presenter effectively communicated information on services and resources
    -- Select One --Strongly AgreeAgreeDisagree
25. Please rate the orientation overall
    -- Select One --Very helpfulHelpfulNot helpful
26. Would you refer someone to our services?
    -- Select One --YesMaybeNo
28. Please provide any additional feedback
30. Are you interested in attending any of our career development workshops?*
    -- Select One --YesNo
31. Check all workshops of interest:

    1. Starting the Search
    2. First Impressions
    3. Qualification Station

    1. Gotcha Covered
    2. Dream, Lead, Succeed
    3. Rebrand Yourself
Leave This Blank:


33. 1. Receive an email copy of this form.
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35. Submit

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