Disability Resources Feedback Form

Your Name (required)

Your Email (required)

Program (required)

Date

Please rate each on a scale of 1-5

(1 being poor and 5 being excellent)

Please rate the overall quality of the program/event

Please rate the location of the program/event

Please rate the instructors of the program/event

Please rate the price of the program/event

How did you find out about the program/event?

What did you like the most about the program/event?

What would you change about the program/event?

Would you recommend the program/event to others?

Questions/Comments/Concerns:

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