Speaker Engagement Feedback Form (Host)

Thank you for booking an A Rocha UK speaker for your recent event. Please help us ensure that our speakers continue to be a blessing to those who hear them by using this form to provide us with feedback about your event. Your replies will be treated in the strictest confidence.

Your details
Name*
First Last
Contact Telephone Number*
Email*
Your Event Details
Event title*
Address of event venue*
Street Address Address Line 2 Town/City Postcode Country
Date of event*
Time of event

HH :

MM
Name of A Rocha UK speaker*
How many people attended the event?*
What topic/theme did the speaker talk about at this event?*
Do you feel that you now know more about A Rocha UK as a result of this event?*
- Yes
- No
Did the speaker inform attendees about how to register to receive news and updates from A Rocha UK?*
- Yes
- No

Please rate different aspects of the event*

	Not Applicable	Extremely Poor	Poor	Fair	Good	Extemely Good
Contact with A Rocha UK and speaker before the event
Content of talk
Quality of presentation
Opportunity for questions/ discussion
Relevance to attendees

Was the length of talk
Too short Too long About right
On the basis of this event, how likely are you to book an A Rocha UK speaker for a future event*
Extremely likely Quite likely Unsure Unlikely Never again
Please provide any additional comments/reflections on the event

Speaker Engagement Feedback Form (Host)

Speaker Engagement Feedback Form (Host)

Your details

Your Event Details