JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Iowa's Dairy Story Evaluation
Please fill out this brief survey to help us understand the reach and impact of these educational materials.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Please tell us about yourself:
Male
Female
Clear selection
State:
Your answer
Mark those that apply to you:
Teacher
4-H Leader
Student
Parent
Industry
Other
School name:
Your answer
Grade level:
Your answer
How many participants have benefitted from this program?
1-5
6-10
11-20
20-30
Over 30
Clear selection
Where do a majority of participants live?
Farm, rural (town under 10,000)
Town (greater than 10,000)
Clear selection
Participant race and ethnicity:
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian/Other Pacific Islander
All Other
What did you find most useful?
Your answer
Suggestions for additional information:
Your answer
Are you interested in receiving more information about the Iowa's Dairy Story Program or attending in person?
Yes
No
Maybe
Clear selection
Other comments/feedback:
Your answer
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Northeast Iowa Community College.
Report Abuse
Forms
