Evaluate a Program

Program Title*

Please provide your name.

Date of Program

Invalid Input

Comments about the program?*

Please provide your comments.

How would you rate this program?*

5 - Excellent

4 - Very good

3 - Good/Average

2 - Mediocre

1 - Poor

Please indicate whether or not you would like to receive a response.

Would you attend this program again?*

YesNo Invalid Input

Invalid Input

How did you hear about the program? (please check all that apply)*

How often do you attend programs and events? (choose one)*

This was my first time

Once a week

Multiple times a week

Several times a month

Once a month

A few times a year

Once a year

Less than once a year

Please indicate whether or not you would like to receive a response.

Do you have any suggestions for a program that you'd like to see us host?*

Please provide your comments.

Are you a resident of Elmwood Park?*

YesNo Invalid Input

*

Invalid