Roundtable Feedback
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Name
*
Company
*
Email
*
Ethnicity
African American (Black)
Asian American
Hispanic/Latino
Choice 4
Other
How satisfied were you with the event?
What did you like least about the event?
What did you like most about the event?
Would you recommend this event to others?
What suggestions do you have for improving the event?
How likely are you to attend a similar event in the future?
0
1
2
3
4
5
6
7
8
9
10
Who else should be at the table?
Nominate a participant for an upcoming round table.
What other support can you provide?
Can you help us secure a venue or would you like to become part of the team? Don’t be shy, All support is welcome!
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