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Workshop Name

Name of Person Completing the Form

Workshop Date

Webinar or In- Person

Webinar

In- Person

Audience Head Count

Number of Yes evals received

Number of YES leads given to assistant

Number of MAYBE evals received

Number of MAYBE leads given to assistant

Number of NO evals received

Paper evals used?

Yes

Attendance interaction Info (1-10 scale)

Technical Issues?

Information shared by the host

Comments

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