Carlos Ojeda Jr., Motivational Speaker

Reciprocity



Reciprocity means an equal and mutual exchange of information, ideas and opinions. It is in the spirit of this concept that we ask that you please take a few minutes to answer the questions below and offer your feedback. It is our belief that reciprocity between a presenter and his audience facilitates the gathering of thoughts, comments, reactions, compliments, constructive criticisms and advice that will allow us to improve the overall presentation and better serve you, our audience.
Your Name:
Company Name:
Event:
Event Date:


How would you rank the overall experience?
	Excellent	Very Good	Good	Fair	Poor

How would you rank the forum's effectiveness?
	Excellent	Very Good	Good	Fair	Poor

How would you rank the content's effectiveness?
	Excellent	Very Good	Good	Fair	Poor

How would you rank the length of the presentation?
	Excellent	Very Good	Good	Fair	Poor

How would you rank the presenter's effectiveness?
	Excellent	Very Good	Good	Fair	Poor

How would you rank the value of the information presented?
	Excellent	Very Good	Good	Fair	Poor

What basic message, theme and/or principle did you hear today that you could use tomorrow?

What Is there something else about the subject discussed today that you would like to know that I did not have time to touch on in this presentation?

Do you know of others (business, associations, individuals, etc.) that would benefit from the material presented today? Who are they?

What is your opinion of my presentation?

If you could use one word to describe the material/topics covered, what would it be?


If you could use one word to describe the presenter, what would it be?



Can we use your feedback with other clients?
	Yes	No


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